De Queen Family Medical Associates Pllc

LBN: De Queen Family Medical Associates Pllc
De Queen Family Medical Associates Pllc is an health care organization with primary practice located at 500 E Collin Raye Dr , De Queen AR 71832-8048. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. De Queen Family Medical Associates Pllc can be contacted via phone (870) 584-3627, or through Kelley, William H. via phone (870) 584-3627.

Contact Information

Primary practice address
500 E Collin Raye Dr De Queen AR 71832-8048
Phone: (870) 584-3627
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kelley, William H. Doctor of Medicine (MD)
Phone: (870) 584-3627

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1104678820
LBN Legal business name De Queen Family Medical Associates Pllc
DBA Doing business as
Authorized official Kelley, William H. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2024
Last updated May 31st, 2024 - about 2 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 1104678820 NPPES
Arkansas MEDICAID 319492002

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