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Contact Information

A & C FAIRWAYS AND GREENNS INC.
106 NO. THIRD ST.
MARMADUKE, AR72443
 Phone: 870-597-4201
 Fax: 870-597-4201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for A & C FAIRWAYS AND GREENNS INC.

NPI # 1023283884
LBN Legal business name A & C FAIRWAYS AND GREENNS INC.
Authorized official ROBERT CARLTON - (ADMINISTRATOR/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2008
Last updated 04/23/2008 - About 18 years ago
Identifiers
AR License # 390
AR Medicaid 140659732
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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