Benton Pediatric Clinic in Benton - Primary Care
Benton Pediatric Clinic - NPI 1497753198
Benton Pediatric Clinic is a Primary Care in Benton, Arkansas. Benton Pediatric Clinic practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Benton Pediatric Clinic is 1497753198. The last update date is 2020-08-22.
Benton Pediatric Clinic's current location address is 115 Mcneil St, Benton, Arkansas. You can contact this provider via phone number 5013150421 and fax number 5017786312. The mailing address for Benton Pediatric Clinic is 115 Mcneil St, Benton, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Benton Pediatric Clinic |
|---|---|
| Address | 115 Mcneil St, Benton, Arkansas |
| Phone Number | 5013150421 |
| Fax Number | 5017786312 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Atkins Jewell Mary |
| Credentials | M.D. |
| Telephone Number | 5013150421 |
NPI Number Detail
| NPI Number | 1497753198 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 115 Mcneil St |
|---|---|
| City | Benton |
| State | Arkansas (AR) |
| Post Code | 720153345 |
| Phone Number | 5013150421 |
| Fax Number | 5017786312 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | R2391 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50143 | AR | BLUE CROSS |
Post Comment/ Review Below
What is the unique identifier code issued to Benton Pediatric Clinic by the Centers for Medicare & Medicaid Services (CMS)?
The Benton Pediatric Clinic has been assigned the NPI (National Provider Identifier) 1497753198. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Benton Pediatric Clinic is physically located?
The Benton Pediatric Clinic is situated at the following address: 115 Mcneil St, Benton, AR 720153345.
What is Benton Pediatric Clinic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Benton Pediatric Clinic is Primary Care, and the taxonomy classification code that categorizes this area of expertise is 261Qp2300X.
On what date did the Benton Pediatric Clinic receive its 1497753198 assignment from the Centers for Medicare & Medicaid Services?
The Benton Pediatric Clinic was assigned its 1497753198 by the Centers for Medicare & Medicaid Services on 2005-07-07.
As of what date was the information pertaining to Benton Pediatric Clinic, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Benton Pediatric Clinic, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.