Northeast Arkansas Clinic, Pa in Jonesboro - Multi-specialty
Northeast Arkansas Clinic, Pa - NPI 1376517177
Northeast Arkansas Clinic, Pa is a Multi-specialty in Jonesboro, Arkansas. Northeast Arkansas Clinic, Pa practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Northeast Arkansas Clinic, Pa is 1376517177. The last update date is 2010-04-05.
Northeast Arkansas Clinic, Pa's current location address is P.o. Box 1960, Jonesboro, Arkansas. You can contact this provider via phone number 8709345101 and fax number 8709323608. The mailing address for Northeast Arkansas Clinic, Pa is P.o. Box 1960, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeast Arkansas Clinic, Pa |
|---|---|
| Address | P.o. Box 1960, Jonesboro, Arkansas |
| Phone Number | 8709345101 |
| Fax Number | 8709323608 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Davis Scot Errol |
| Telephone Number | 8709345803 |
NPI Number Detail
| NPI Number | 1376517177 |
|---|---|
| Provider Enumeration Date | 2006-02-16 |
| Last Updated Date | 2010-04-05 |
Provider Mailing Address Detail
| Address | P.o. Box 1960 |
|---|---|
| City | Jonesboro |
| State | Arkansas (AR) |
| Post Code | 724031960 |
| Phone Number | 8709345101 |
| Fax Number | 8709323608 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 139864002 | AR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Northeast Arkansas Clinic, Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Northeast Arkansas Clinic, Pa has been assigned the NPI (National Provider Identifier) 1376517177. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Northeast Arkansas Clinic, Pa located?
The Northeast Arkansas Clinic, Pa is located at P.O. Box 1960, Jonesboro, AR 724031960.
Could you please provide the complete physical location address of Northeast Arkansas Clinic, Pa?
The Northeast Arkansas Clinic, Pa is physically situated at P.O. Box 1960, in the city of Jonesboro, state of AR, with the postal code 724031960.
What is the area of specialization for Northeast Arkansas Clinic, Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Northeast Arkansas Clinic, Pa is Multi-specialty, and the corresponding taxonomy code that categorizes this area of expertise is 261Qm1300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1376517177 to Northeast Arkansas Clinic, Pa?
The Northeast Arkansas Clinic, Pa received its 1376517177 assignment from the Centers for Medicare & Medicaid Services on 2006-02-16.
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