Benton Pediatric Clinic

LBN: Benton Pediatric Clinic
Benton Pediatric Clinic is an health care organization with primary practice located at 115 Mcneil St , Benton AR 72015-3345. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Benton Pediatric Clinic can be contacted via phone (501) 315-0421, or through Atkins, Mary Jewell via phone (501) 315-0421.

Contact Information

Primary practice address
115 Mcneil St Benton AR 72015-3345
Phone: (501) 315-0421
Fax: (501) 778-6312
Website:
Map and Directions
Authorized official contact:
Name: Atkins, Mary Jewell Doctor of Medicine (MD)
Phone: (501) 315-0421

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X R2391 Arkansas

Profile Details

NPI number 1497753198
LBN Legal business name Benton Pediatric Clinic
DBA Doing business as
Authorized official Atkins, Mary Jewell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1497753198 NPPES
Arkansas Other 50143 BLUE CROSS

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