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Contact Information

ARKADELPHIA CLINIC FOR CHILDREN AND YOUNG ADULTS, PA
2850 TWIN RIVERS DR
ARKADELPHIA, AR71923-4212
 Phone: 870-246-8036
 Fax: 870-246-7164
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ARKADELPHIA CLINIC FOR CHILDREN AND YOUNG ADULTS, PA

NPI Number 1699741033
LBN Legal business name ARKADELPHIA CLINIC FOR CHILDREN AND YOUNG ADULTS, PA
Authorized official WESLEY KLUCK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2006
Last updated 06/04/2019 - About 7 years ago
Identifiers
AR License # MC-1864
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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