MED; NPI #1225317621

Contact Information

MED

1604 MERRILL DR
LITTLE ROCK, AR 72211-1818

Phone: 501-240-5748
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Pastoral	101YP1600X

Indicates primary specialty

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NPI Profile & details for MED

NPI Number	`1225317621`
LBN Legal business name	MED
Authorized official	ERIC WARE - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/16/2011
Last updated	08/16/2011 - About 15 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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