Autumn Road Family Practice, P.A,

LBN: Autumn Road Family Practice, P.A,
Autumn Road Family Practice, P.A, is an health care organization with primary practice located at 904 Autumn Rd Suite 200, Little Rock AR 72211-3737. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Autumn Road Family Practice, P.A, can be contacted via phone (501) 227-6363, or through Drennan, Dawn via phone (501) 626-7515.

Contact Information

Primary practice address
904 Autumn Rd Suite 200 Little Rock AR 72211-3737
Phone: (501) 227-6363
Fax: (501) 227-8629
Website:
Map and Directions
Authorized official contact:
Name: Drennan, Dawn
Phone: (501) 626-7515

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X MC0079 Arkansas

Profile Details

NPI number 1629027818
LBN Legal business name Autumn Road Family Practice, P.A,
DBA Doing business as
Authorized official Drennan, Dawn
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2006
Last updated May 31st, 2022 - about 4 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 1629027818 NPPES
Arkansas MEDICAID 111026102

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