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Contact Information

SHORT MOUNTAIN LODGE CSSP LLC
2721 W WALNUT ST
PARIS, AR72855-3642
 Phone: 479-963-2255
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for SHORT MOUNTAIN LODGE CSSP LLC

NPI # 1194540534
LBN Legal business name SHORT MOUNTAIN LODGE CSSP LLC
Authorized official CLAUDE BRYANT - (REGIONAL ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/20/2024
Last updated 05/07/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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