Robert Mack Inc

LBN: Robert Mack Inc
Robert Mack Inc is an health care organization with primary practice located at 1801 South 74 , Ft Smith AR 72902. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as the primary health care specialty. Robert Mack Inc can be contacted via phone (479) 478-5572, or through Mack, Robert Gary via phone (479) 414-1190.

Contact Information

Primary practice address
1801 South 74 Ft Smith AR 72902
Phone: (479) 478-5572
Fax: (479) 478-5560
Website:
Map and Directions
Authorized official contact:
Name: Mack, Robert Gary OTRL
Phone: (479) 414-1190

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OTR940 Arkansas

Profile Details

NPI number 1083881437
LBN Legal business name Robert Mack Inc
DBA Doing business as
Authorized official Mack, Robert Gary OTRL
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2008
Last updated May 14th, 2008 - about 18 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 1083881437 NPPES
Arkansas MEDICAID 146815742

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