Twin Lakes Physician Group Pa
LBN: Twin Lakes Physician Group Pa
Twin Lakes Physician Group Pa is an health care organization with primary practice located at 17 Medical Plaza , Mountain Home AR 72653. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
Twin Lakes Physician Group Pa can be contacted via phone (870) 425-6212, or through Sandvos, Richard via phone (870) 425-6212.
Contact Information
Primary practice address
17 Medical Plaza
Mountain Home AR 72653
Phone: (870) 425-6212
Fax: (870) 508-6896
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X |
Profile Details
| NPI number | 1710291752 |
|---|---|
| LBN Legal business name | Twin Lakes Physician Group Pa |
| DBA Doing business as | |
| Authorized official | Sandvos, Richard |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 2nd, 2010 |
| Last updated | Aug 16th, 2013 - about 11 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 | 1710291752 | NPPES |
| Arkansas | MEDICAID | 184075002 | |
| Arkansas | Other | 5G314 | |
| Arkansas | Other | DQ7170 |
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