Autumn Road Family Practice, P.A, in Little Rock - Clinic/center
Autumn Road Family Practice, P.A, - NPI 1629027818
Autumn Road Family Practice, P.A, is a Clinic/center in Little Rock, Arkansas. Autumn Road Family Practice, P.A, practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Autumn Road Family Practice, P.A, is 1629027818. The last update date is 2022-05-31.
Autumn Road Family Practice, P.A,'s current location address is 904 Autumn Rd, Little Rock, Arkansas. You can contact this provider via phone number 5012276363 and fax number 5012278629. The mailing address for Autumn Road Family Practice, P.A, is 904 Autumn Rd, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Autumn Road Family Practice, P.A, |
|---|---|
| Address | 904 Autumn Rd, Little Rock, Arkansas |
| Phone Number | 5012276363 |
| Fax Number | 5012278629 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Drennan Dawn |
| Telephone Number | 5016267515 |
NPI Number Detail
| NPI Number | 1629027818 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2022-05-31 |
Provider Mailing Address Detail
| Address | 904 Autumn Rd |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722113737 |
| Phone Number | 5012276363 |
| Fax Number | 5012278629 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | MC0079 |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 111026102 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Autumn Road Family Practice, P.A, by the Centers for Medicare & Medicaid Services?
The Autumn Road Family Practice, P.A, has been issued the NPI (National Provider Identifier) 1629027818, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Autumn Road Family Practice, P.A,'s facilities are geographically located?
The facilities of Autumn Road Family Practice, P.A, are physically situated at the following location: 904 Autumn Rd, Little Rock, AR, 722113737.
What is Autumn Road Family Practice, P.A,'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Autumn Road Family Practice, P.A, is Clinic/center, and the corresponding taxonomy classification code for this specialized field is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629027818 to Autumn Road Family Practice, P.A,?
The Centers for Medicare & Medicaid Services originally issued the 1629027818 to Autumn Road Family Practice, P.A, on 2006-05-08.
When was the information regarding Autumn Road Family Practice, P.A,, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Autumn Road Family Practice, P.A,, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-05-31.