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SILOAM SPRINGS CLINIC COMPANY LLC NPI 1013155431


NPI Information

NPI: 1013155431
Provider Name: SILOAM SPRINGS CLINIC COMPANY LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 04D0050071

Address:
603 N PROGRESS AVE
SILOAM SPRINGS, AR
ZIP 72761
Phone: (479) 215-3000
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SILOAM SPRINGS CLINIC COMPANY LLC is an internal medicine in Siloam Springs, AR. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SILOAM SPRINGS CLINIC COMPANY LLC NPI is 1013155431. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

603 N PROGRESS AVE
SILOAM SPRINGS, AR
ZIP 72761-352
Phone: (479) 215-3000
Fax: (479) 215-3139

The provider's authorized official is Jennifer L Jackson .
The authorized official title is Sr. Director Provider Enrollment and has the following contact phone number (877) 892-9815.

The CLIA number assigned to this NPI record is 04D0050071 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/22/2009 and was last updated on 3/5/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyARKANSASNo
2363LF0000XNurse PractitionerFamilyNo
3207L00000XAnesthesiologyARKANSASNo
4207P00000XEmergency MedicineARKANSASNo
5207Q00000XFamily MedicineNo
6207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200237720AMEDICAIDOKLAHOMA
21013155431MEDICAIDMISSOURI
31013155431OTHERARKANSASAR BCBS
4176101002MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.