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Contact Information

EQUESTRIAN ZONE
4800 S FRANKFORT AVE
RUSSELLVILLE, AR72802-0823
 Phone: 479-970-8351
 Fax: 479-967-1178
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Disabilities

261QD1600X
Indicates primary specialty

NPI Profile & details for EQUESTRIAN ZONE

NPI # 1912494527
LBN Legal business name EQUESTRIAN ZONE
Authorized official JODI KUSTURIN - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2018
Last updated 04/18/2018 - About 8 years ago
Identifiers n/a
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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