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Contact Information

FORREST CITY CLINIC COMPANY LLC
1601 NEWCASTLE ROAD
FORREST CITY, AR72336
 Phone: 870-261-0000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for FORREST CITY CLINIC COMPANY LLC

NPI Number 1821293051
LBN Legal business name FORREST CITY CLINIC COMPANY LLC
Authorized official LAURA FEY - (SR DIRECTOR PHYSICIAN PRACTICE REV)
Entity Organization
Organization subpart 1 No
Enumeration date 06/18/2007
Last updated 01/19/2022 - About 4 years ago
Identifiers
AR Medicaid 166132002
AR Other 5F850 BCBS
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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