Siloam Springs Clinic Company Llc

LBN: Siloam Springs Clinic Company Llc
Siloam Springs Clinic Company Llc is an health care organization with primary practice located at 603 N Progress Ave , Siloam Springs AR 72761-4352. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Siloam Springs Clinic Company Llc can be contacted via phone (479) 215-3000, or through Jackson, Jennifer L via phone (877) 892-9815.

Contact Information

Primary practice address
603 N Progress Ave Siloam Springs AR 72761-4352
Phone: (479) 215-3000
Fax: (479) 215-3139
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Jennifer L
Phone: (877) 892-9815

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X Arkansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1013155431
LBN Legal business name Siloam Springs Clinic Company Llc
DBA Doing business as
Authorized official Jackson, Jennifer L
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2009
Last updated Mar 5th, 2022 - about 3 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 1013155431 NPPES
Missouri MEDICAID 1013155431
Missouri MEDICAID 200237720A
Missouri MEDICAID 176101002
Missouri Other 1013155431

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