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Contact Information

ASCENSION DEPAUL SERVICES
407 SOUTH GOULD AVE
GOULD, AR71643
 Phone: 870-263-4317
 Fax: 870-263-4782
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ASCENSION DEPAUL SERVICES

NPI # 1689890063
LBN Legal business name ASCENSION DEPAUL SERVICES
Authorized official LISA GOODGAME - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/17/2007
Last updated 03/31/2021 - About 5 years ago
Identifiers
AR Medicaid 149324631
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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