Urology Group Of Western Arkansas

LBN: Urology Group Of Western Arkansas
Urology Group Of Western Arkansas is an health care organization with primary practice located at 5500 Ellsworth Rd. , Fort Smith AR 72903-3222. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Urology Group Of Western Arkansas can be contacted via phone (479) 242-2411, or through Lange, John via phone (479) 709-7416.

Contact Information

Primary practice address
5500 Ellsworth Rd. Fort Smith AR 72903-3222
Phone: (479) 242-2411
Fax: (479) 242-2412
Website:
Map and Directions
Authorized official contact:
Name: Lange, John Doctor of Medicine (MD)
Phone: (479) 709-7416

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1326019506
LBN Legal business name Urology Group Of Western Arkansas
DBA Doing business as
Authorized official Lange, John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2006
Last updated Mar 23rd, 2012 - 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 1326019506 NPPES
Arkansas MEDICAID 154225002
Arkansas Other 5F080
Arkansas MEDICAID 200027500A

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