South Central Gi, Llc

LBN: South Central Gi, Llc
South Central Gi, Llc is an health care organization with primary practice located at 124 Sawtooth Oak St , Hot Springs AR 71901-7160. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. South Central Gi, Llc can be contacted via phone (501) 623-7800, or through Blackstock, Terri via phone (501) 623-7800.

Contact Information

Primary practice address
124 Sawtooth Oak St Hot Springs AR 71901-7160
Phone: (501) 623-7800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blackstock, Terri Doctor of Medicine (MD)
Phone: (501) 623-7800

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1558492017
LBN Legal business name South Central Gi, Llc
DBA Doing business as
Authorized official Blackstock, Terri Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Apr 4th, 2011 - about 13 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 1558492017 NPPES
Arkansas MEDICAID 126541001
Arkansas MEDICAID 146525002

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