Gpn Jacksonville Llc

LBN: Gpn Jacksonville Llc
Gpn Jacksonville Llc is an health care organization with primary practice located at 1400 Braden St Er Dept, Jacksonville AR 72076-3721. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Gpn Jacksonville Llc can be contacted via phone (501) 985-7315, or through Huckabee, Samuel D via phone (318) 629-5349.

Contact Information

Primary practice address
1400 Braden St Er Dept Jacksonville AR 72076-3721
Phone: (501) 985-7315
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Huckabee, Samuel D
Phone: (318) 629-5349

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1376812487
LBN Legal business name Gpn Jacksonville Llc
DBA Doing business as
Authorized official Huckabee, Samuel D
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2011
Last updated Aug 27th, 2012 - about 13 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 1376812487 NPPES
Other 616847700 DEPT OF LABOR
MEDICAID 191242002 DEPT OF LABOR
Other DS4118 DEPT OF LABOR

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