Mountain View Clinic I Llc

LBN: Mountain View Clinic I Llc
Mountain View Clinic I Llc is an health care organization with primary practice located at 1102 Crestwood Cir , Mena AR 71953-5513. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Mountain View Clinic I Llc can be contacted via phone (479) 394-7301, or through Lochala, Richard Mark via phone (479) 394-7301.

Contact Information

Primary practice address
1102 Crestwood Cir Mena AR 71953-5513
Phone: (479) 394-7301
Fax: (479) 394-7160
Website:
Map and Directions
Authorized official contact:
Name: Lochala, Richard Mark Doctor of Medicine (MD)
Phone: (479) 394-7301

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1851366777
LBN Legal business name Mountain View Clinic I Llc
DBA Doing business as
Authorized official Lochala, Richard Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2006
Last updated Oct 6th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851366777 NPPES
Arkansas Other 5B765 BCBS CLINIC #
Arkansas MEDICAID 135991002 BCBS CLINIC #

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