Ouachita Family Practice Llc

LBN: Ouachita Family Practice Llc
Ouachita Family Practice Llc is an health care organization with primary practice located at 1210 Dequeen St , Mena AR 71953-4132. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Ouachita Family Practice Llc can be contacted via phone (479) 394-5068, or through Kincaid, Debbie via phone (479) 394-5068.

Contact Information

Primary practice address
1210 Dequeen St Mena AR 71953-4132
Phone: (479) 394-5068
Fax: (479) 394-5626
Website:
Map and Directions
Authorized official contact:
Name: Kincaid, Debbie
Phone: (479) 394-5068

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X N6236 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A01300-ANP Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A03080ANP Arkansas

Profile Details

NPI number 1225289978
LBN Legal business name Ouachita Family Practice Llc
DBA Doing business as
Authorized official Kincaid, Debbie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2008
Last updated Nov 25th, 2013 - about 11 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 1225289978 NPPES
Arkansas Other 5A866 PTAN
Arkansas MEDICAID 175314762 PTAN
Arkansas MEDICAID 182122002 PTAN
Arkansas Other 5U119 PTAN

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