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Contact Information

EMERGENCY MEDICINE OF NORTHWEST ARKANSAS, LLC
3873 NORTH PARKVIEW DRIVE
FAYETTEVILLE, AR72703
 Phone: 479-466-0432
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for EMERGENCY MEDICINE OF NORTHWEST ARKANSAS, LLC

NPI Number 1538486113
LBN Legal business name EMERGENCY MEDICINE OF NORTHWEST ARKANSAS, LLC
Authorized official JEFF AUDIBERT - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/22/2010
Last updated 11/18/2016 - About 10 years ago
Identifiers
AR Medicaid 183700002
AR Other 5G278 ARKANSAS BLUE CROSS
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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