Shiloh Clinic Plc

LBN: Shiloh Clinic Plc
Shiloh Clinic Plc is an health care organization with primary practice located at 307 N Main St Apt. B, Springdale AR 72764-4340. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Shiloh Clinic Plc can be contacted via phone (479) 361-8694, or through Kendrick, William C via phone (479) 419-9902.

Contact Information

Primary practice address
307 N Main St Apt. B Springdale AR 72764-4340
Fax: (479) 361-8694
Website:
Authorized official contact:
Name: Kendrick, William C Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1700188117
LBN Legal business name Shiloh Clinic Plc
DBA Doing business as
Authorized official Kendrick, William C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2010
Last updated Nov 18th, 2010 - about 14 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 1700188117 NPPES
Arkansas MEDICAID 103290001
Arkansas MEDICAID 124288001

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