Regional Family Medicine Pa in Mountain Home - Family Medicine
Regional Family Medicine Pa - NPI 1003814609
Regional Family Medicine Pa is a Family Medicine in Mountain Home, Arkansas. Regional Family Medicine Pa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Regional Family Medicine Pa is 1003814609. The last update date is 2022-07-21.
Regional Family Medicine Pa's current location address is 630 Burnett Dr, Mountain Home, Arkansas. You can contact this provider via phone number 8704256971 and fax number 8705088900. The mailing address for Regional Family Medicine Pa is 630 Burnett Dr, Mountain Home, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Regional Family Medicine Pa |
|---|---|
| Address | 630 Burnett Dr, Mountain Home, Arkansas |
| Phone Number | 8704256971 |
| Fax Number | 8705088900 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Elders Gregory John |
| Credentials | MD |
| Telephone Number | 8704256971 |
NPI Number Detail
| NPI Number | 1003814609 |
|---|---|
| Provider Enumeration Date | 2005-07-08 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 630 Burnett Dr |
|---|---|
| City | Mountain Home |
| State | Arkansas (AR) |
| Post Code | 726532941 |
| Phone Number | 8704256971 |
| Fax Number | 8705088900 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 121500001 | AR | -- | |
| 5F307 | AR | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identification code assigned to Regional Family Medicine Pa by the Centers for Medicare & Medicaid Services?
The Regional Family Medicine Pa has been issued the NPI (National Provider Identifier) 1003814609. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Regional Family Medicine Pa is physically located?
The Regional Family Medicine Pa is physically situated at the following address: 630 Burnett Dr, Mountain Home, AR, 726532941.
What is Regional Family Medicine Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Regional Family Medicine Pa is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Regional Family Medicine Pa receive the assignment of its 1003814609 from the Centers for Medicare & Medicaid Services?
The Regional Family Medicine Pa was issued its 1003814609 by the Centers for Medicare & Medicaid Services on 2005-07-08.
As of what date were the details pertaining to Regional Family Medicine Pa last refreshed?
The information related to the Regional Family Medicine Pa, including its address, specialty, and other relevant details, was last updated on 2022-07-21.
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