Premise Health - Fayetteville

LBN: Premise Health Of Arkansas Medical P A
Premise Health - Fayetteville is an health care organization with primary practice located at 2907 E Joyce Blvd Ste 6 , Fayetteville AR 72703-5390. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Premise Health Of Arkansas Medical P A can be contacted via phone (479) 442-9900, or through Vasquez, Peter J via phone (844) 407-7557.

Contact Information

Primary practice address
2907 E Joyce Blvd Ste 6 Fayetteville AR 72703-5390
Phone: (479) 442-9900
Fax: (479) 442-9903
Website:
Map and Directions
Authorized official contact:
Name: Vasquez, Peter J Doctor of Medicine (MD)
Phone: (844) 407-7557

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1174003685
LBN Legal business name Premise Health Of Arkansas Medical P A
DBA Doing business as Premise Health - Fayetteville
Authorized official Vasquez, Peter J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2018
Last updated Apr 29th, 2020 - about 4 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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