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Contact Information

AMMC PHYSICIAN SERVICES, INC
1000 W KINGSHIGHWAY STE 9
PARAGOULD, AR72450-4197
 Phone: 870-239-8450
 Fax: 870-239-8454
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AMMC PHYSICIAN SERVICES, INC

NPI # 1942439120
LBN Legal business name AMMC PHYSICIAN SERVICES, INC
Authorized official BRYAN JACKSON - (SEC/TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/08/2009
Last updated 07/08/2009 - About 17 years ago
Identifiers
AR License # R3227
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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