Springdale Foot Specialist Pa

LBN: Springdale Foot Specialist Pa
Springdale Foot Specialist Pa is an health care organization with primary practice located at 1213 S Thompson St , Springdale AR 72764-6313. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Springdale Foot Specialist Pa can be contacted via phone (479) 751-3656, or through Pinkerton, Ronald R via phone (479) 751-3656.

Contact Information

Primary practice address
1213 S Thompson St Springdale AR 72764-6313
Fax: (479) 750-2221
Website:
Authorized official contact:
Name: Pinkerton, Ronald R

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 121 Oklahoma
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 69 Arkansas

Profile Details

NPI number 1871751198
LBN Legal business name Springdale Foot Specialist Pa
DBA Doing business as
Authorized official Pinkerton, Ronald R
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2008
Last updated Jun 6th, 2008 - about 16 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 1871751198 NPPES
Arkansas MEDICAID 106361717
Arkansas MEDICAID 200052700A
Arkansas Other 442460675
Arkansas Other 56364
Arkansas Other 480032388

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