NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.; NPI #1528399755

Contact Information

NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.

1118 WINDOVER
JONESBORO, AR 72401-6155

Phone: 870-934-5102
Fax: 870-932-3608
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Sleep Disorder Diagnostic	261QS1200X

Indicates primary specialty

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NPI Profile & details for NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.

NPI Number	`1528399755`
LBN Legal business name	NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.
Authorized official	GREGORY DUCKETT - (SR VP/ CLO)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	01/28/2010
Last updated	09/30/2020 - About 6 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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