Civitan Services
LBN: Civitan Center
Civitan Services is an health care organization with primary practice located at 121 South Cox Street 121 South Cox Street, Benton AR 72018-0368. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty.
Civitan Center can be contacted via phone (501) 776-0691, or through Henderson, Leah L. via phone (501) 776-0691.
Contact Information
Primary practice address
121 South Cox Street 121 South Cox Street
Benton AR 72018-0368
Phone: (501) 776-0691
Fax: (501) 776-0692
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | Arkansas |
Profile Details
| NPI number | 1508917295 |
|---|---|
| LBN Legal business name | Civitan Center |
| DBA Doing business as | Civitan Services |
| Authorized official | Henderson, Leah L. MSE-ECSE |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Mar 10th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508917295 | NPPES |
| Arkansas | MEDICAID | 105505724 | |
| Arkansas | MEDICAID | 120140715 | |
| Arkansas | MEDICAID | 116454742 | |
| Arkansas | MEDICAID | 131841774 | |
| Arkansas | MEDICAID | 125972767 | |
| Arkansas | Other | 132537786 |
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