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Contact Information

ARKANSAS LIVER AND GASTROENTEROLOGY, PA
2347 NORTH THOMPKINS AVE
BETHANY, OK73008
 Phone: 479-242-2888
 Fax: 479-242-2889
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for ARKANSAS LIVER AND GASTROENTEROLOGY, PA

NPI Number 1366943151
LBN Legal business name ARKANSAS LIVER AND GASTROENTEROLOGY, PA
Authorized official SARAH COLUCCINO - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2018
Last updated 02/27/2018 - About 8 years ago
Identifiers
AR Medicaid 21089002
OK Medicaid 2006036301A
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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