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FOREST PARK MEDICAL AND CHIROPRACTIC CLINIC NPI 1124034947


NPI Information

NPI: 1124034947
Provider Name: FOREST PARK MEDICAL AND CHIROPRACTIC CLINIC
Classification: Clinic/Center - 261QA0005X
Entity Type: Organization

Specialization: Ambulatory Family Planning Facility

Address:
1119 S VAN BUREN ST
LITTLE ROCK, AR
ZIP 72204
Phone: (501) 661-1303
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FOREST PARK MEDICAL AND CHIROPRACTIC CLINIC is an ambulatory family planning facility clinic center in Little Rock, AR. The provider is an abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. FOREST PARK MEDICAL AND CHIROPRACTIC CLINIC NPI is 1124034947. The provider is registered as an organization entity type.

The provider's business location address is:

1119 S VAN BUREN ST
LITTLE ROCK, AR
ZIP 72204-847
Phone: (501) 661-1303
Fax: (501) 661-1323

The provider's authorized official is Jon Harrol Dodson .
The authorized official title is President and has the following contact phone number (501) 661-1303.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 3/27/2008.


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
1261QA0005XClinic/CenterAmbulatory Family Planning FacilityC3397ARKANSASYes

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
134900MEDICARE UPINARKANSAS

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: 11/14/2023

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