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Contact Information

ARKANSAS FOOT CLINIC, PA
1501 ALDERSGATE RD
LITTLE ROCK, AR72205-6611
 Phone: 501-224-1501
 Fax: 501-376-7065
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for ARKANSAS FOOT CLINIC, PA

NPI Number 1306816137
LBN Legal business name ARKANSAS FOOT CLINIC, PA
Authorized official ALLAN GOLD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/24/2006
Last updated 01/04/2019 - About 7 years ago
Identifiers
AR Medicaid 119019748
Other CD4794 RR MEDICARE
AR Other 57258 AR BLUE CROSS
AR Other 57258 BCBS FEP
AR Other 57258 BLUE ADVANTAGE
AR Other 57258 FIRST SOURCE PPO
AR Other 57258 HEALTH ADVANTAGE
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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