Trident Medical Care Group Llc

LBN: Trident Medical Care Group Llc
Trident Medical Care Group Llc is an health care organization with primary practice located at 106 S Inglewood Ave Ste A , Russellville AR 72801-3353. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Trident Medical Care Group Llc can be contacted via phone (479) 449-0400, or through Seal, Kacey via phone (479) 449-0400.

Contact Information

Primary practice address
106 S Inglewood Ave Ste A Russellville AR 72801-3353
Phone: (479) 449-0400
Fax: (479) 282-0410
Website:
Map and Directions
Authorized official contact:
Name: Seal, Kacey
Phone: (479) 449-0400

Health care specialties

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

Profile Details

NPI number 1629904461
LBN Legal business name Trident Medical Care Group Llc
DBA Doing business as
Authorized official Seal, Kacey
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2026
Last updated Jun 19th, 2026 - about 5 months 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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