Rainbow Pediatric Services, Pllc

LBN: Apn Rainbow Pediatric Services, Pllc
Rainbow Pediatric Services, Pllc is an health care organization with primary practice located at 5507 Walsh Lane Ste 101, Rogers AR 72758-8941. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty. Apn Rainbow Pediatric Services, Pllc can be contacted via phone (479) 464-8231, or through Shreve-Doffin, Marilou via phone (479) 464-8231.

Contact Information

Primary practice address
5507 Walsh Lane Ste 101 Rogers AR 72758-8941
Phone: (479) 464-8231
Fax: (479) 464-8230
Website:
Map and Directions
Authorized official contact:
Name: Shreve-Doffin, Marilou Advanced Practice Nurse (APN)
Phone: (479) 464-8231

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A01589 Arkansas

Profile Details

NPI number 1184825408
LBN Legal business name Apn Rainbow Pediatric Services, Pllc
DBA Doing business as Rainbow Pediatric Services, Pllc
Authorized official Shreve-Doffin, Marilou Advanced Practice Nurse (APN)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2007
Last updated Sep 30th, 2008 - about 18 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 1184825408 NPPES
Arkansas MEDICAID 155833762
Arkansas Other 5F294

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