Saline Medical Group

LBN: Saline Medical Group
Saline Medical Group is an health care organization with primary practice located at 624 Alcoa , Benton AR 72015-3404. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Saline Medical Group can be contacted via phone (501) 315-4512, or through Tilley, Roger L via phone (501) 315-4512.

Contact Information

Primary practice address
624 Alcoa Benton AR 72015-3404
Phone: (501) 315-4512
Fax: (501) 315-0917
Website:
Map and Directions
Authorized official contact:
Name: Tilley, Roger L Doctor of Medicine (MD)
Phone: (501) 315-4512

Health care specialties

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

Profile Details

NPI number 1700830718
LBN Legal business name Saline Medical Group
DBA Doing business as
Authorized official Tilley, Roger L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2006
Last updated Feb 15th, 2016 - about 10 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 1700830718 NPPES
Alaska MEDICAID 105459002

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