South Arkansas Diagnostic Clinic in El Dorado - Nurse Practitioner
South Arkansas Diagnostic Clinic - NPI 1306882790
South Arkansas Diagnostic Clinic is a Nurse Practitioner in El Dorado, Arkansas. South Arkansas Diagnostic Clinic practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for South Arkansas Diagnostic Clinic is 1306882790. The last update date is 2020-08-22.
South Arkansas Diagnostic Clinic's current location address is 403 W Oak St, El Dorado, Arkansas. You can contact this provider via phone number 8708625732 and fax number 8708638802. The mailing address for South Arkansas Diagnostic Clinic is 403 W Oak St, El Dorado, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Arkansas Diagnostic Clinic |
|---|---|
| Address | 403 W Oak St, El Dorado, Arkansas |
| Phone Number | 8708625732 |
| Fax Number | 8708638802 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Hardin Scott Alvin |
| Credentials | MD |
| Telephone Number | 8708625732 |
NPI Number Detail
| NPI Number | 1306882790 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 403 W Oak St |
|---|---|
| City | El Dorado |
| State | Arkansas (AR) |
| Post Code | 71730 |
| Phone Number | 8708625732 |
| Fax Number | 8708638802 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | A01412 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the South Arkansas Diagnostic Clinic's unique identification number?
The South Arkansas Diagnostic Clinic has been assigned the NPI (National Provider Identifier) Number 1306882790 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the South Arkansas Diagnostic Clinic's physical address?
The South Arkansas Diagnostic Clinic is physically located at 403 W Oak St, in the city of El Dorado, AR, with the postal code 71730.
What is South Arkansas Diagnostic Clinic's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for South Arkansas Diagnostic Clinic is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306882790 to South Arkansas Diagnostic Clinic?
The South Arkansas Diagnostic Clinic received its 1306882790 assignment from the Centers for Medicare & Medicaid Services on 2006-06-22.
When was the information regarding South Arkansas Diagnostic Clinic most recently updated?
The details pertaining to the South Arkansas Diagnostic Clinic, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.