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FAMILY PRACTICE CLINIC OF PARAGOULD NPI 1144299132


NPI Information

NPI: 1144299132
Provider Name: FAMILY PRACTICE CLINIC OF PARAGOULD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 04D0468097

Address:
1015 W KINGSHIGHWAY
PARAGOULD, AR
ZIP 72450
Phone: (870) 239-4076
Get Directions

FAMILY PRACTICE CLINIC OF PARAGOULD is a family medicine in Paragould, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY PRACTICE CLINIC OF PARAGOULD NPI is 1144299132. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1015 W KINGSHIGHWAY
PARAGOULD, AR
ZIP 72450-142
Phone: (870) 239-4076

The provider's authorized official is Thomas Lynn Stickel .
The authorized official title is Administrator and has the following contact phone number (870) 239-4076.

The CLIA number assigned to this NPI record is 04D0468097 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

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: 5/5/2024

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