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Contact Information

FOOT CARE OF NORTHEAST ARKANSAS PA
406 E WASHINGTON AVE
JONESBORO, AR72401-3108
 Phone: 870-933-8900
 Fax: 870-933-2611
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FOOT CARE OF NORTHEAST ARKANSAS PA

NPI Number 1750550489
LBN Legal business name FOOT CARE OF NORTHEAST ARKANSAS PA
Authorized official EDDY CALDWELL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2008
Last updated 08/28/2008 - About 18 years ago
Identifiers
AR License # AR163
AR Medicaid 130246748
AR Medicaid 167681748
Other 5T344 BCBS
Other 16888000000 QUALCHOICE
Other 480034780 RR MEDICARE
AR Other 5F963 MEDICARE
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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