Organization
THE PEDIATRIC CLINIC OF NLR, P.A.
Active
Other names
The Pediatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA SIMS RN (ADMINISTRATOR)
(501) 758-1530
Entity
Organization
Contact information
Practice address
1525 COUNTRY CLUB RD, SHERWOOD, AR 72120-5076
(501) 758-1530
(501) 819-6171
Mailing address
1525 COUNTRY CLUB RD, SHERWOOD, AR 72120-5076
(501) 758-1530
(501) 819-6171
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104480002
—
AR
05
—
200077770A
—
OK
01
—
56918
BLUCROSS BLUSHIELD AR
AR
Enumeration date
06/30/2006
Last updated
08/05/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us