Regional Family Medicine Pa

LBN: Regional Family Medicine Pa
Regional Family Medicine Pa is an health care organization with primary practice located at 630 Burnett Dr , Mountain Home AR 72653-2941. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Regional Family Medicine Pa can be contacted via phone (870) 425-6971, or through Elders, John Gregory via phone (870) 425-6971.

Contact Information

Primary practice address
630 Burnett Dr Mountain Home AR 72653-2941
Phone: (870) 425-6971
Fax: (870) 508-8900
Website:
Map and Directions
Authorized official contact:
Name: Elders, John Gregory Doctor of Medicine (MD)
Phone: (870) 425-6971

Health care specialties

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

Profile Details

NPI number 1003814609
LBN Legal business name Regional Family Medicine Pa
DBA Doing business as
Authorized official Elders, John Gregory Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2005
Last updated Jul 21st, 2022 - about 4 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 1003814609 NPPES
Arkansas MEDICAID 121500001
Arkansas Other 5F307

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