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FAMILY MEDICINE CLINIC P A NPI 1396701041


NPI Information

NPI: 1396701041
Provider Name: FAMILY MEDICINE CLINIC P A
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 04D0465840

Address:
100 HOLLYWOOD AVE
HOT SPRINGS, AR
ZIP 71901
Phone: (501) 321-9292
Get Directions

FAMILY MEDICINE CLINIC P A is a family medicine in Hot 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 MEDICINE CLINIC P A NPI is 1396701041. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 HOLLYWOOD AVE
HOT SPRINGS, AR
ZIP 71901-057
Phone: (501) 321-9292
Fax: (501) 623-5541

The provider's authorized official is Paul Timothy English .
The authorized official title is President and has the following contact phone number (501) 321-9292.

The CLIA number assigned to this NPI record is 04D0465840 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/21/2006 and was last updated on 9/29/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineARKANSASNo
2207Q00000XFamily MedicineMC-0612ARKANSASYes

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
1150040002MEDICAIDARKANSAS

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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