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PARKWAY HEALTH CENTER INC. NPI 1114055712


NPI Information

NPI: 1114055712
Provider Name: PARKWAY HEALTH CENTER INC.
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 04D0684102

Address:
14300 CHENAL PKWY
LITTLE ROCK, AR
ZIP 72211
Phone: (501) 202-1664
Get Directions

PARKWAY HEALTH CENTER INC. is a geriatric medicine internal medicine in Little Rock, AR. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. PARKWAY HEALTH CENTER INC. NPI is 1114055712. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14300 CHENAL PKWY
LITTLE ROCK, AR
ZIP 72211-805
Phone: (501) 202-1664
Fax: (501) 202-1611

The provider's authorized official is Peggy N Mcqueen .
The authorized official title is Office Manager and has the following contact phone number (501) 202-1664.

The CLIA number assigned to this NPI record is 04D0684102 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 2/7/2009.


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
1207RG0300XInternal MedicineGeriatric Medicine5B415ARKANSASYes

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
15B415MEDICARE PINARKANSAS
2C68197MEDICARE UPINARKANSAS
3130139002MEDICAIDARKANSAS
4CI5000MEDICARE PINARKANSAS

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

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