Fowler Family Center For Cancer Care

LBN: Northeast Arkansas Clinic Charitable Foundation, Inc.
Fowler Family Center For Cancer Care is an health care organization with primary practice located at 4808 E Johnson Ave , Jonesboro AR 72401-8413. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oncology, which is considered as 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
4808 E Johnson Ave Jonesboro AR 72401-8413
Phone: (870) 936-8000
Fax: (870) 932-3608
Website:
Map and Directions
Authorized official contact:
Name: Duckett, Gregory M.
Phone: (901) 227-5233

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oncology 261QX0200X

Profile Details

NPI number 1912328428
LBN Legal business name Northeast Arkansas Clinic Charitable Foundation, Inc.
DBA Doing business as Fowler Family Center For Cancer Care
Authorized official Duckett, Gregory M.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2013
Last updated Sep 29th, 2020 - about 5 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 1912328428 NPPES
Arkansas MEDICAID 184473002
Arkansas Other 5G237

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