Community Physicians Group
LBN: Integrated Community Clinics Pa
Community Physicians Group is an health care organization with primary practice located at 1101-2 N Progress Avenue , Siloam Springs AR 72761-4343. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Integrated Community Clinics Pa can be contacted via phone (479) 549-3079, or through Chambers, Kelly via phone (479) 549-3079.
Contact Information
Primary practice address
1101-2 N Progress Avenue
Siloam Springs AR 72761-4343
Phone: (479) 549-3079
Fax: (479) 549-3275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1760440226 |
|---|---|
| LBN Legal business name | Integrated Community Clinics Pa |
| DBA Doing business as | Community Physicians Group |
| Authorized official | Chambers, Kelly |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Feb 13th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760440226 | NPPES |
| Oklahoma | MEDICAID | 100747540A | |
| Oklahoma | Other | 5C090 | |
| Oklahoma | MEDICAID | 135299002 |
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