Nea Clinic

LBN: Northeast Arkansas Clinic, Pa
Nea Clinic is an health care organization with primary practice located at 1835 Grant Ave. , Jonesboro AR 72401. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Northeast Arkansas Clinic, Pa can be contacted via phone (870) 934-5101, or through Davis, Errol Scot via phone (870) 934-5803.

Contact Information

Primary practice address
1835 Grant Ave. Jonesboro AR 72401
Fax: (870) 932-3608
Website:
Authorized official contact:
Name: Davis, Errol Scot

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1376517177
LBN Legal business name Northeast Arkansas Clinic, Pa
DBA Doing business as Nea Clinic
Authorized official Davis, Errol Scot
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2006
Last updated Apr 5th, 2010 - about 15 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 1376517177 NPPES
Arkansas MEDICAID 139864002

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