C. E. Campbell, Jr Md Pa

LBN: C. E. Campbell, Jr Md Pa
C. E. Campbell, Jr Md Pa is an health care organization with primary practice located at 609 Fulton St , Blytheville AR 72315-1922. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. C. E. Campbell, Jr Md Pa can be contacted via phone (870) 763-0855, or through White, Lynda via phone (870) 763-0855.

Contact Information

Primary practice address
609 Fulton St Blytheville AR 72315-1922
Phone: (870) 763-0855
Fax: (870) 763-0858
Website:
Map and Directions
Authorized official contact:
Name: White, Lynda
Phone: (870) 763-0855

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R1755 Arkansas

Profile Details

NPI number 1104017227
LBN Legal business name C. E. Campbell, Jr Md Pa
DBA Doing business as
Authorized official White, Lynda
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2007
Last updated Mar 1st, 2011 - about 15 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 1104017227 NPPES
Arkansas MEDICAID 103491002
Arkansas MEDICAID 501821003
Arkansas Other 103491002
Arkansas Other 1114934353
Arkansas Other 1104017227

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