Ozark Mountain Orthopedic Clinic, Pa

LBN: Ozark Mountain Orthopedic Clinic, Pa
Ozark Mountain Orthopedic Clinic, Pa is an health care organization with primary practice located at 1708 W Main St , Heber Springs AR 72543-2823. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Ozark Mountain Orthopedic Clinic, Pa can be contacted via phone (501) 362-6631, or through Waller, John Arthur via phone (501) 362-6631.

Contact Information

Primary practice address
1708 W Main St Heber Springs AR 72543-2823
Phone: (501) 362-6631
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Waller, John Arthur Doctor of Medicine (MD)
Phone: (501) 362-6631

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X R-4651 Arkansas

Profile Details

NPI number 1891856837
LBN Legal business name Ozark Mountain Orthopedic Clinic, Pa
DBA Doing business as
Authorized official Waller, John Arthur Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated May 19th, 2009 - 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 1891856837 NPPES
Arkansas MEDICAID 140217001

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