Arkansas Respiratory & Equipment Provider

LBN: Pediatric Nutrition Provider Of Arkansas
Arkansas Respiratory & Equipment Provider is an health care organization with primary practice located at 920 Edison Ave Suite 8, Benton AR 72015-4502. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Pediatric Nutrition Provider Of Arkansas can be contacted via phone (501) 315-7337, or through Motto, Nicole C via phone (501) 315-7337.

Contact Information

Primary practice address
920 Edison Ave Suite 8 Benton AR 72015-4502
Fax:
Website:
Authorized official contact:
Name: Motto, Nicole C

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X MG00511 Arkansas

Profile Details

NPI number 1265569453
LBN Legal business name Pediatric Nutrition Provider Of Arkansas
DBA Doing business as Arkansas Respiratory & Equipment Provider
Authorized official Motto, Nicole C
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Aug 22nd, 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 1265569453 NPPES
Arkansas Other 49908 BCBS

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