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Contact Information

BENTONVILLE PEDIATRICS
2719 SE I ST
BENTONVILLE, AR72712-3996
 Phone: 479-273-5437
 Fax: 479-273-9932
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BENTONVILLE PEDIATRICS

NPI # 1356319164
LBN Legal business name BENTONVILLE PEDIATRICS
Authorized official JASON FOSTER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/08/2006
Last updated 10/11/2024 - More than a year ago
Identifiers
AR Medicaid 146796002
AR Other 5C844 ARK. 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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