Lake City Dental Clinic

LBN: White River Rural Health Center Inc
Lake City Dental Clinic is an health care organization with primary practice located at 1009 Highway 18 , Lake City AR 72437-9622. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. White River Rural Health Center Inc can be contacted via phone (870) 237-9928, or through Collier, Steven F via phone (870) 347-2534.

Contact Information

Primary practice address
1009 Highway 18 Lake City AR 72437-9622
Phone: (870) 237-9928
Fax: (870) 237-1012
Website:
Map and Directions
Authorized official contact:
Name: Collier, Steven F
Phone: (870) 347-2534

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1861654006
LBN Legal business name White River Rural Health Center Inc
DBA Doing business as Lake City Dental Clinic
Authorized official Collier, Steven F
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 30th, 2008
Last updated Jul 7th, 2009 - about 15 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 1861654006 NPPES
Arkansas MEDICAID 171779631

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