Lake Village Clinic Pa
LBN: Lake Village Clinic Pa
Lake Village Clinic Pa is an health care organization with primary practice located at 2918 Louis Sessions St , Lake Village AR 71653-6049. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Lake Village Clinic Pa can be contacted via phone (870) 265-5343, or through Howell, Suzanne via phone (870) 265-5343.
Contact Information
Primary practice address
2918 Louis Sessions St
Lake Village AR 71653-6049
Phone: (870) 265-5343
Fax: (870) 265-5686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MC0189 | Arkansas |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | MC0189 | Arkansas |
Profile Details
| NPI number | 1306801212 |
|---|---|
| LBN Legal business name | Lake Village Clinic Pa |
| DBA Doing business as | |
| Authorized official | Howell, Suzanne |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Dec 9th, 2015 - about 11 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 | 1306801212 | NPPES |
| Arkansas | MEDICAID | 101409002 | |
| Arkansas | MEDICAID | 127181729 |
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