Oak Park Medical C,Linic, P.A.

LBN: Oak Park Medical C,Linic, P.A.
Oak Park Medical C,Linic, P.A. is an health care organization with primary practice located at 1301 White Dr , Batesville AR 72501-9467. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Oak Park Medical C,Linic, P.A. can be contacted via phone (870) 793-6887, or through Moody, Lackey Gene via phone (870) 793-9887.

Contact Information

Primary practice address
1301 White Dr Batesville AR 72501-9467
Phone: (870) 793-6887
Fax: (870) 793-8085
Website:
Map and Directions
Authorized official contact:
Name: Moody, Lackey Gene Doctor of Medicine (MD)
Phone: (870) 793-9887

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C-4126 Arkansas

Profile Details

NPI number 1902865579
LBN Legal business name Oak Park Medical C,Linic, P.A.
DBA Doing business as
Authorized official Moody, Lackey Gene Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2006
Last updated Aug 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902865579 NPPES
Arkansas Other 57250 BLUE CROSS

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