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ARKANSAS LIVER AND GASTROENTEROLOGY PA NPI 1366943151


NPI Information

NPI: 1366943151
Provider Name: ARKANSAS LIVER AND GASTROENTEROLOGY, PA

Doing Business As: THE LIVER CARE CLINICS

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2347 NORTH THOMPKINS AVE
BETHANY, OK
ZIP 73008
Phone: (479) 242-2888
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ARKANSAS LIVER AND GASTROENTEROLOGY, PA is a clinic center in Bethany, OK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ARKANSAS LIVER AND GASTROENTEROLOGY, PA NPI is 1366943151. The provider is registered as an organization entity type.
The provider Is Doing Business As The Liver Care Clinics.

The provider's business location address is:

2347 NORTH THOMPKINS AVE
BETHANY, OK
ZIP 73008
Phone: (479) 242-2888
Fax: (479) 242-2889

The provider's authorized official is Sarah Jessica-elise Coluccino .
The authorized official title is Office Manager and has the following contact phone number (479) 242-2888.

The enumeration date for this NPI number is 2/27/2018 and was last updated on 2/27/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12006036301AMEDICAIDOKLAHOMA
221089002MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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