Abraham Medical Center, Pa

LBN: Abraham Medical Center, Pa
Abraham Medical Center, Pa is an health care organization with primary practice located at 15 Green Valley Dr , Mountain Home AR 72653-8102. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Abraham Medical Center, Pa can be contacted via phone (870) 425-6991, or through Abraham, K Simon S via phone (870) 425-6991.

Contact Information

Primary practice address
15 Green Valley Dr Mountain Home AR 72653-8102
Phone: (870) 425-6991
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Abraham, K Simon S Doctor of Medicine (MD)
Phone: (870) 425-6991

Health care specialties

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

Profile Details

NPI number 1275692790
LBN Legal business name Abraham Medical Center, Pa
DBA Doing business as
Authorized official Abraham, K Simon S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2006
Last updated Jan 6th, 2012 - about 14 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 1275692790 NPPES
Arkansas MEDICAID 101015002

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