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Contact Information

ARKANSAS FAMILY CARE NETWORK
220 N SIDNEY AVE
RUSSELLVILLE, AR72801-4389
 Phone: 479-498-0858
 Fax: 479-498-0809
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ARKANSAS FAMILY CARE NETWORK

NPI # 1285145169
LBN Legal business name ARKANSAS FAMILY CARE NETWORK
Authorized official JEFF ERWIN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2017
Last updated 10/18/2017 - About 9 years ago
Identifiers
AR Medicaid 213751002
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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