Russellville Pediatric & Adolescent Clinic

LBN: Arkansas Family Care Network
Russellville Pediatric & Adolescent Clinic is an health care organization with primary practice located at 220 N Sidney Ave , Russellville AR 72801-4389. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Arkansas Family Care Network can be contacted via phone (479) 498-0858, or through Erwin, Jeff via phone (501) 224-1690.

Contact Information

Primary practice address
220 N Sidney Ave Russellville AR 72801-4389
Phone: (479) 498-0858
Fax: (479) 498-0809
Website:
Map and Directions
Authorized official contact:
Name: Erwin, Jeff
Phone: (501) 224-1690

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1285145169
LBN Legal business name Arkansas Family Care Network
DBA Doing business as Russellville Pediatric & Adolescent Clinic
Authorized official Erwin, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2017
Last updated Oct 18th, 2017 - about 9 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 1285145169 NPPES
Arkansas MEDICAID 213751002

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