Forrest City Family Practice Clinic, Pa in Forrest City - Adolescent Medicine
Forrest City Family Practice Clinic, Pa - NPI 1649396979
Forrest City Family Practice Clinic, Pa is a Adolescent Medicine in Forrest City, Arkansas. Forrest City Family Practice Clinic, Pa practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Forrest City Family Practice Clinic, Pa is 1649396979. The last update date is 2011-12-01.
Forrest City Family Practice Clinic, Pa's current location address is 902 Holiday Dr, Forrest City, Arkansas. You can contact this provider via phone number 8706301256. The mailing address for Forrest City Family Practice Clinic, Pa is 902 Holiday Dr, Forrest City, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Forrest City Family Practice Clinic, Pa |
|---|---|
| Address | 902 Holiday Dr, Forrest City, Arkansas |
| Phone Number | 8706301256 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLING MA |
|---|---|
| Authorized Official Name | Byrd Neida |
| Telephone Number | 9017373071 |
NPI Number Detail
| NPI Number | 1649396979 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2011-12-01 |
Provider Mailing Address Detail
| Address | 902 Holiday Dr |
|---|---|
| City | Forrest City |
| State | Arkansas (AR) |
| Post Code | 723359183 |
| Phone Number | 8706301256 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
| Licence No | R3762 |
|
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| R3762 | AR | BCBS GROUP ID | |
| 51280 | AR | BCBS INDV NUMBER | |
| 113530001 | AR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Forrest City Family Practice Clinic, Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Forrest City Family Practice Clinic, Pa has been assigned the NPI (National Provider Identifier) 1649396979. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Forrest City Family Practice Clinic, Pa's facilities are situated?
The facilities of Forrest City Family Practice Clinic, Pa are physically located at the following address: 902 Holiday Dr, Forrest City, AR, 723359183.
What is Forrest City Family Practice Clinic, Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Forrest City Family Practice Clinic, Pa is Adolescent Medicine, and the taxonomy code that classifies this field of practice is 207Qa0000X.
On what date did Forrest City Family Practice Clinic, Pa receive its 1649396979 assignment from the Centers for Medicare & Medicaid Services?
The Forrest City Family Practice Clinic, Pa was assigned its 1649396979 on 2007-03-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Forrest City Family Practice Clinic, Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Forrest City Family Practice Clinic, Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-12-01.
Address: 1837 S Magnolia Ave, Yuma, AZ
Address: 615 Shipyard Blvd, Wilmington, NC
Address: 175 Cross Keys Rd, Berlin, NJ
Address: 175 Cross Keys Rd # 300 A, Berlin, NJ
Address: 100 Brewster Blvd, Camp Lejeune, NC
Address: 6841 Blanding Blvd, Jacksonville, FL
Address: Po Box 11247, Berkeley, CA
Address: 3 Cooper Plz, Camden, NJ
Address: 1230 S Cedar Crest Blvd Ste 306, Allentown, PA
Address: 1230 S Cedar Crest Blvd Ste 306, Allentown, PA
Address: 1207 S Queen St, York, PA
Address: Po Box 858, Hershey, PA
Address: 2280 Marcola Rd, Springfield, OR
Address: 41 University Dr Ste 106, Newtown, PA
Address: 1147 Independence Blvd, Virginia Beach, VA