Northeast Arkansas Clinic Charitable Foundation, Inc.

LBN: Northeast Arkansas Clinic Charitable Foundation, Inc.
Northeast Arkansas Clinic Charitable Foundation, Inc. is an health care organization with primary practice located at 4800 E Johnson Ave , Jonesboro AR 72405-8413. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Radiology, Mobile Mammography, Physician Assistants & Advanced Practice Nursing Providers / Medical. Ambulatory Health Care Facilities / Radiology, Mobile Mammography is the primary health care specialty. Northeast Arkansas Clinic Charitable Foundation, Inc. can be contacted via phone (870) 936-8000, or through Duckett, Gregory M via phone (901) 227-5233.

Contact Information

Primary practice address
4800 E Johnson Ave Jonesboro AR 72405-8413
Phone: (870) 936-8000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Duckett, Gregory M SR. VP/CLO
Phone: (901) 227-5233

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Radiology, Mobile Mammography 261QR0207X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1417721689
LBN Legal business name Northeast Arkansas Clinic Charitable Foundation, Inc.
DBA Doing business as
Authorized official Duckett, Gregory M SR. VP/CLO
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2023
Last updated Nov 8th, 2023 - about 2 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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