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BECK FAMILY MEDICAL CLINIC PLLC NPI 1215300264


NPI Information

NPI: 1215300264
Provider Name: BECK FAMILY MEDICAL CLINIC PLLC

Doing Business As: HILLTOP FAMILY MEDICAL CLINIC

Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 04D2103348

Address:
38 MARTY LN
HATTIEVILLE, AR
ZIP 72063
Phone: (501) 977-0102
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BECK FAMILY MEDICAL CLINIC PLLC is a nurse practitioner in Hattieville, AR. The provider is (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. BECK FAMILY MEDICAL CLINIC PLLC NPI is 1215300264. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Hilltop Family Medical Clinic.

The provider's business location address is:

38 MARTY LN
HATTIEVILLE, AR
ZIP 72063-930
Phone: (501) 977-0102
Fax: (501) 977-0120

The provider's authorized official is Nataille C Beck .
The authorized official title is Certified Nurse Practioner and has the following contact phone number (501) 977-0102.

The CLIA number assigned to this NPI record is 04D2103348 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/12/2015 and was last updated on 12/10/2015.


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
1363L00000XNurse PractitionerF0513126ARKANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11629418553OTHERARKANSASPROVIDER NPI
2198622758MEDICAIDARKANSAS

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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