Mccollum Psychiatric Clinic

LBN: William E. Mccollum, M.D., P.A.
Mccollum Psychiatric Clinic is an health care organization with primary practice located at 201 N 36Th St , Rogers AR 72756-1750. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as the primary health care specialty. William E. Mccollum, M.D., P.A. can be contacted via phone (479) 621-8600, or through Mccollum, William via phone (479) 621-8600.

Contact Information

Primary practice address
201 N 36Th St Rogers AR 72756-1750
Phone: (479) 621-8600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mccollum, William Doctor of Medicine (MD)
Phone: (479) 621-8600

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X C-6457 Arkansas

Profile Details

NPI number 1992930903
LBN Legal business name William E. Mccollum, M.D., P.A.
DBA Doing business as Mccollum Psychiatric Clinic
Authorized official Mccollum, William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2009
Last updated May 19th, 2009 - 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 1992930903 NPPES
Arkansas MEDICAID 101217001

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