MENTOR ABI, LLC; NPI #1841414232

Contact Information

MENTOR ABI, LLC

15000 HIGHWAY 298
BENTON, AR 72019-9282

Phone: 501-758-8799
Fax: 501-753-8204
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	283XC2000X

Indicates primary specialty

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NPI Profile & details for MENTOR ABI, LLC

NPI # 1841414232

LBN Legal business name MENTOR ABI, LLC

Authorized official CINDY BEATY - (DIRECTOR OF REIMBURSEMENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/13/2007

Last updated 02/22/2019 - About 7 years ago

Identifiers

AR	License #	10042
AR	Medicaid	126843126
AR	Medicaid	181317526

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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MENTOR ABI, LLC

Contact Information

Specialty

Children

NPI Profile & details for MENTOR ABI, LLC

Reviews for MENTOR ABI, LLC