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FAMILY MEDICAL CARE PA NPI 1255371753


NPI Information

NPI: 1255371753
Provider Name: FAMILY MEDICAL CARE, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 04D0691658

Address:
2225 HIGHWAY 110 W
HEBER SPRINGS, AR
ZIP 72543
Phone: (501) 362-0048
Get Directions

FAMILY MEDICAL CARE, PA is a family medicine in Heber Springs, 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 MEDICAL CARE, PA NPI is 1255371753. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2225 HIGHWAY 110 W
HEBER SPRINGS, AR
ZIP 72543-404
Phone: (501) 362-0048
Fax: (501) 362-8815

The provider's authorized official is Granville Leroy Vaughan .
The authorized official title is Owner/ceo and has the following contact phone number (501) 362-0048.

The CLIA number assigned to this NPI record is 04D0691658 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 7/30/2008.


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
1207Q00000XFamily MedicineC7548ARKANSASYes

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
1080191764OTHERARKANSASRAILROAD MEDICARE
25C172MEDICARE PINARKANSAS
3E02923MEDICARE UPINARKANSAS
4149045002MEDICAIDARKANSAS

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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