Independence Healthcare Inc

LBN: Independence Healthcare Inc
Independence Healthcare Inc is an health care organization with primary practice located at 1303 Central Avenue , Hot Springs AR 71901. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Independence Healthcare Inc can be contacted via phone (501) 623-4422, or through Braziel, Mark via phone (501) 623-4422.

Contact Information

Primary practice address
1303 Central Avenue Hot Springs AR 71901
Phone: (501) 623-4422
Fax: (501) 623-4424
Website:
Map and Directions
Authorized official contact:
Name: Braziel, Mark
Phone: (501) 623-4422

Health care specialties

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

Profile Details

NPI number 1649376260
LBN Legal business name Independence Healthcare Inc
DBA Doing business as
Authorized official Braziel, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated Apr 3rd, 2013 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649376260 NPPES
Arkansas Other 49913 BCBS
Arkansas MEDICAID 154494716 BCBS

Popular Providers