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Contact Information

MCLEAN & D G CLINIC
104 E 16TH ST
HOPE, AR71801-7424
 Phone: 870-777-0007
 Fax: 870-777-0061
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for MCLEAN & D G CLINIC

NPI Number 1619036498
LBN Legal business name MCLEAN & D G CLINIC
Authorized official JOAN MCLEAN - (NURSE PRACTIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/07/2006
Last updated 06/23/2008 - About 18 years ago
Identifiers
AR License # A01251
AR Medicaid 102612001
AR Other 5T414 ARKANSAS BCBS
AR Other 14169000002 QUALCHOICE
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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