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Contact Information

OTOLARYNGOLOGY AND FACIAL SURGERY CENTER OF NORTHEAST ARK PA
621 E MATTHEWS AVE
JONESBORO, AR72401-3145
 Phone: 870-932-6799
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist

231H00000X 64 Audiologist
 

Audiologist-Hearing Aid Fitter

237600000X
Indicates primary specialty

NPI Profile & details for OTOLARYNGOLOGY AND FACIAL SURGERY CENTER OF NORTHEAST ARK PA

NPI # 1922425818
LBN Legal business name OTOLARYNGOLOGY AND FACIAL SURGERY CENTER OF NORTHEAST ARK PA
Authorized official ROSIE YOUNG - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/28/2014
Last updated 03/28/2014 - About 12 years ago
Identifiers
AR Medicaid 199654720
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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