Professional Medical Review, Inc

LBN: Pine Bluff Surgical Clinic, Inc
Professional Medical Review, Inc is an health care organization with primary practice located at 316 W 6Th Ave , Pine Bluff AR 71601-4217. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Pine Bluff Surgical Clinic, Inc can be contacted via phone (870) 850-6053, or through Roberson, George Vaiden via phone (870) 850-6053.

Contact Information

Primary practice address
316 W 6Th Ave Pine Bluff AR 71601-4217
Phone: (870) 850-6053
Fax: (870) 850-6482
Website:
Map and Directions
Authorized official contact:
Name: Roberson, George Vaiden Doctor of Medicine (MD)
Phone: (870) 850-6053

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R1682 Arkansas

Profile Details

NPI number 1821148586
LBN Legal business name Pine Bluff Surgical Clinic, Inc
DBA Doing business as Professional Medical Review, Inc
Authorized official Roberson, George Vaiden Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Apr 29th, 2009 - about 17 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 1821148586 NPPES
Arkansas MEDICAID 103023002

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