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Contact Information

IRVIN & DIBRELL MEDICAL CLINIC, PA
803 WEST MAIN
MOUNTAIN VIEW, AR72560
 Phone: 870-269-9800
 Fax: 870-269-9614
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for IRVIN & DIBRELL MEDICAL CLINIC, PA

NPI Number 1669492575
LBN Legal business name IRVIN & DIBRELL MEDICAL CLINIC, PA
Authorized official JOHN IRVIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/20/2006
Last updated 06/24/2010 - About 16 years ago
Identifiers
AR Other 5C651 BLUE CROSS BLUE SHIELD
AR Other DB3125 RAILROAD MEDICARE
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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