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Contact Information

ARKANSAS FOOT & ANKLE CLINIC, PA
1801 W 40TH AVE
SUITE 4E
PINE BLUFF, AR71603-6940
 Phone: 870-535-4850
 Fax: 870-535-3558
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ARKANSAS FOOT & ANKLE CLINIC, PA

NPI # 1346534047
LBN Legal business name ARKANSAS FOOT & ANKLE CLINIC, PA
Authorized official JOHN THRASH - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/31/2011
Last updated 10/10/2024 - More than a year ago
Identifiers
AR License # 162
AR Medicaid 130021717
AR Other 4249008 AETNA
AR Other 5T328 BLUE CROSS AND BLUE SHIELD
AR Other 480021446 PALMETTO
AR Other 17389000000 QUAL CHOICE
AR Other 2720022 UNITED HEALTHCARE
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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