Cooper Clinic, Pa

LBN: Cooper Clinic, Pa
Cooper Clinic, Pa is an health care organization with primary practice located at 2521 Alma Hwy , Van Buren AR 72956-5015. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Cooper Clinic, Pa can be contacted via phone (479) 274-6800, or through Ralston, Curtis D via phone (479) 274-2000.

Contact Information

Primary practice address
2521 Alma Hwy Van Buren AR 72956-5015
Phone: (479) 274-6800
Fax: (479) 474-4513
Website:
Map and Directions
Authorized official contact:
Name: Ralston, Curtis D
Phone: (479) 274-2000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X MC-0254 Arkansas

Profile Details

NPI number 1013923614
LBN Legal business name Cooper Clinic, Pa
DBA Doing business as
Authorized official Ralston, Curtis D
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2006
Last updated Sep 1st, 2015 - about 11 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 1013923614 NPPES
Arkansas MEDICAID 136193002

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