Twin Lakes Medical Specialists, Pa
LBN: Twin Lakes Medical Specialists, Pa
Twin Lakes Medical Specialists, Pa is an health care organization with primary practice located at 628 Hospital Drive Ground Floor Suite A, Mountain Home AR 72653-2953. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Radiation Oncology. Other Service Providers / Specialist is the primary health care specialty.
Twin Lakes Medical Specialists, Pa can be contacted via phone (870) 425-4402, or through Dyer, William S via phone (870) 425-4402.
Contact Information
Primary practice address
628 Hospital Drive Ground Floor Suite A
Mountain Home AR 72653-2953
Phone: (870) 425-4402
Fax: (870) 425-6811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ||
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | ||
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X |
Profile Details
| NPI number | 1275584575 |
|---|---|
| LBN Legal business name | Twin Lakes Medical Specialists, Pa |
| DBA Doing business as | |
| Authorized official | Dyer, William S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Nov 25th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275584575 | NPPES |
| Arkansas | MEDICAID | 121749002 |
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