GPN JACKSONVILLE LLC – NPI #1376812487
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

GPN JACKSONVILLE LLC is a provider located in JACKSONVILLE, AR. NPPES has assigned the NPI number 1376812487 to GPN JACKSONVILLE LLC on December 19, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 14 years ago on Aug 27, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GPN JACKSONVILLE LLC below.

NPI Profile for
GPN JACKSONVILLE LLC

NPI Number
1376812487
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GPN JACKSONVILLE LLC
Primary location
1400 BRADEN ST
ER DEPT
JACKSONVILLE, AR 72076-3721
Phone: (501) 985-7315 Fax:
Mailing address
PO BOX 3925
SHREVEPORT, LA 71133-3925
Phone: (800) 684-0052 Fax:
Organization Subpart
No
Authorized Official
SAMUEL HUCKABEE
CEO
Phone: (318) 629-5349
Updated
Identifiers

Identifiers for GPN JACKSONVILLE LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDEPT OF LABOR616847700
OTHERRAILROAD MCAREDS4118
MEDICAIDAR191242002
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.