Ivey Family Medicine

LBN: Ivey Family Medicine
Ivey Family Medicine is an health care organization with primary practice located at 2905 S Walton Blvd. Suite 17, Bentonville AR 72712-7848. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Ivey Family Medicine can be contacted via phone (479) 657-6501, or through Ivey, Traci via phone (479) 657-6501.

Contact Information

Primary practice address
2905 S Walton Blvd. Suite 17 Bentonville AR 72712-7848
Phone: (479) 657-6501
Fax: (479) 657-6375
Website:
Map and Directions
Authorized official contact:
Name: Ivey, Traci Doctor of Medicine (MD)
Phone: (479) 657-6501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X R-4023 Arkansas

Profile Details

NPI number 1932539624
LBN Legal business name Ivey Family Medicine
DBA Doing business as
Authorized official Ivey, Traci Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2013
Last updated Nov 18th, 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.

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