PHILLIPS MEDICINE LLC; NPI #1235653882

Contact Information

PHILLIPS MEDICINE LLC

1011 SHERIDAN ROAD
REDFIELD, AR 72132

Phone: 501-397-2604
Fax: 501-397-2645
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for PHILLIPS MEDICINE LLC

NPI Number	`1235653882`
LBN Legal business name	PHILLIPS MEDICINE LLC
Authorized official	TRACY PHILLIPS - (PHYSICIAN)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/26/2017
Last updated	02/28/2018 - 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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