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Contact Information

WCNC, INC.
4405 PERSIMMON STREET
FAYETTEVILLE, AR72704
 Phone: 479-444-6108
 Fax: 479-444-1403
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for WCNC, INC.

NPI Number 1194044941
LBN Legal business name WCNC, INC.
Authorized official BRANDON ADAMS - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/19/2010
Last updated 11/10/2014 - About 12 years ago
Identifiers
AR License # 923
AR Medicaid 182798311
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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