Paragould Pediatrics, Pllc

LBN: Paragould Pediatrics, Pllc
Paragould Pediatrics, Pllc is an health care organization with primary practice located at 4000 Linwood Dr Suite H, Paragould AR 72450-7223. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Paragould Pediatrics, Pllc can be contacted via phone (870) 236-7337, or through Wenger, Kristina Michele via phone (870) 236-7337.

Contact Information

Primary practice address
4000 Linwood Dr Suite H Paragould AR 72450-7223
Phone: (870) 236-7337
Fax: (870) 236-7332
Website:
Map and Directions
Authorized official contact:
Name: Wenger, Kristina Michele Doctor of Medicine (MD)
Phone: (870) 236-7337

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1881887255
LBN Legal business name Paragould Pediatrics, Pllc
DBA Doing business as
Authorized official Wenger, Kristina Michele Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2007
Last updated Sep 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881887255 NPPES
Arkansas MEDICAID 165537002
Arkansas Other 5F839

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