Monticello Medical Clinic Plc
LBN: Monticello Medical Clinic Plc
Monticello Medical Clinic Plc is an health care organization with primary practice located at 906 Roberts Dr , Monticello AR 71655-5724. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Monticello Medical Clinic Plc can be contacted via phone (870) 367-6867, or through Simon, Sylvia via phone (870) 367-6867.
Contact Information
Primary practice address
906 Roberts Dr
Monticello AR 71655-5724
Phone: (870) 367-6867
Fax: (870) 367-1461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1366422305 |
|---|---|
| LBN Legal business name | Monticello Medical Clinic Plc |
| DBA Doing business as | |
| Authorized official | Simon, Sylvia Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Apr 1st, 2020 - about 6 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 | 1366422305 | NPPES |
| Arkansas | Other | 77067202 | BREASTCARE |
| Arkansas | MEDICAID | 139812002 | BREASTCARE |
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