Forrest City Family Practice Clinic, Pa in Forrest City - Geriatric Medicine

Forrest City Family Practice Clinic, Pa - NPI 1649396979

Forrest City Family Practice Clinic, Pa is a Geriatric Medicine in Forrest City, Arkansas. Forrest City Family Practice Clinic, Pa practices all healthcare services and medical treatments related to Geriatric 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 Geriatric Medicine
Taxonomy 207Qg0300X
Licence No R3762
Definition:
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
R3762 AR BCBS GROUP ID
51280 AR BCBS INDV NUMBER
113530001 AR --

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FAQs about Forrest City Family Practice Clinic, Pa

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 Geriatric Medicine, and the taxonomy code that classifies this field of practice is 207Qg0300X.

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.

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