Child & Youth Pediatric Day Clinic

LBN: Ascent Acquisitions Corp-Cypdc
Child & Youth Pediatric Day Clinic is an health care organization with primary practice located at 18 County Road 458 , Mountain Home AR 72653-8212. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Day Training, Developmentally Disabled Services. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Ascent Acquisitions Corp-Cypdc can be contacted via phone (870) 425-5252, or through Allgood, Holly via phone (870) 819-0232.

Contact Information

Primary practice address
18 County Road 458 Mountain Home AR 72653-8212
Phone: (870) 425-5252
Fax: (870) 425-5254
Website:
Map and Directions
Authorized official contact:
Name: Allgood, Holly
Phone: (870) 819-0232

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1952434326
LBN Legal business name Ascent Acquisitions Corp-Cypdc
DBA Doing business as Child & Youth Pediatric Day Clinic
Authorized official Allgood, Holly
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated Apr 12th, 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 1952434326 NPPES
Arkansas MEDICAID 160844742
Arkansas MEDICAID 160756724
Arkansas MEDICAID 160781526
Arkansas Other 5C363

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