Clarksville Medical Group, P.A.

LBN: Clarksville Medical Group, P.A.
Clarksville Medical Group, P.A. is an health care organization with primary practice located at 601 W Mckennon St , Clarksville AR 72830-3523. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Clarksville Medical Group, P.A. can be contacted via phone (479) 754-8384, or through Perrett, Leanna J via phone (479) 754-8384.

Contact Information

Primary practice address
601 W Mckennon St Clarksville AR 72830-3523
Phone: (479) 754-8384
Fax: (479) 754-7141
Website:
Map and Directions
Authorized official contact:
Name: Perrett, Leanna J
Phone: (479) 754-8384

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X MC0283 Arkansas

Profile Details

NPI number 1508918467
LBN Legal business name Clarksville Medical Group, P.A.
DBA Doing business as
Authorized official Perrett, Leanna J
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Mar 13th, 2008 - about 17 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 1508918467 NPPES
Arkansas Other 0790780001 DURABLE MEDICAL EQUIPMENT

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