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Contact Information

HARRISON PEDIATRICS
1418 MCCOY DR
HARRISON, AR72601-2411
 Phone: 870-391-5903
 Fax: 870-743-4641
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for HARRISON PEDIATRICS

NPI Number 1467817148
LBN Legal business name HARRISON PEDIATRICS
Authorized official SOMA GHOSH - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/22/2015
Last updated 12/22/2015 - About 10 years ago
Identifiers
AR License # MC-3097
AR Medicaid 210549002
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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