Northwest Benton County Physician Services Llc

LBN: Northwest Benton County Physician Services Llc
Northwest Benton County Physician Services Llc is an health care organization with primary practice located at 5501 Willow Creek Dr Ste 101 , Springdale AR 72762-8707. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Northwest Benton County Physician Services Llc can be contacted via phone (479) 757-8050, or through Jackson, Jennifer L via phone (877) 892-9815.

Contact Information

Primary practice address
5501 Willow Creek Dr Ste 101 Springdale AR 72762-8707
Phone: (479) 757-8050
Fax: (479) 757-3529
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Jennifer L
Phone: (877) 892-9815

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1871553073
LBN Legal business name Northwest Benton County Physician Services Llc
DBA Doing business as
Authorized official Jackson, Jennifer L
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2006
Last updated Nov 3rd, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871553073 NPPES
Arkansas MEDICAID 157598002
Arkansas Other DD6410

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