National Provider Identifier Database

CATHOLIC HEALTH INITIATIVES ST VINCENT INTERFAITH CLINIC INC
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

CATHOLIC HEALTH INITIATIVES -ST. VINCENT INTERFAITH CLINIC, INC
830 N CREEK DR
CONWAY, AR72032-4711
Phone: 501-932-0559
Fax: 501-932-0227
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X
Family 363LF0000X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for CATHOLIC HEALTH INITIATIVES -ST. VINCENT INTERFAITH CLINIC, INC

NPI Number 1881612703
Legal business name
LBN
CATHOLIC HEALTH INITIATIVES -ST. VINCENT INTERFAITH CLINIC, INC
Authorized official KITTIE AARON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/18/2006
Last updated 06/15/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • AR Medicaid: 1510001631

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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