Kenneth Heiles Clinic Ahec

LBN: University Of Arkansas For Medical Sciences
Kenneth Heiles Clinic Ahec is an health care organization with primary practice located at 203 S Jefferson St , Star City AR 71667. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. University Of Arkansas For Medical Sciences can be contacted via phone (870) 628-5110, or through Wylie, Kathleen via phone (870) 541-6008.

Contact Information

Primary practice address
203 S Jefferson St Star City AR 71667
Phone: (870) 628-5110
Fax: (870) 628-5949
Website:
Map and Directions
Authorized official contact:
Name: Wylie, Kathleen
Phone: (870) 541-6008

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1336184431
LBN Legal business name University Of Arkansas For Medical Sciences
DBA Doing business as Kenneth Heiles Clinic Ahec
Authorized official Wylie, Kathleen
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 20th, 2006
Last updated Jun 12th, 2008 - about 17 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 1336184431 NPPES
Arkansas MEDICAID 112297003

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