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MENA CENTER FOR WOMENS HEALTH PA NPI 1427155316


NPI Information

NPI: 1427155316
Provider Name: MENA CENTER FOR WOMENS HEALTH, PA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 04D0929332

Address:
400 CRESTWOOD CIR STE P
MENA, AR
ZIP 71953
Phone: (479) 394-2534
Get Directions

MENA CENTER FOR WOMENS HEALTH, PA is an obstetrics gynecology in Mena, AR. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MENA CENTER FOR WOMENS HEALTH, PA NPI is 1427155316. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 CRESTWOOD CIR STE P
MENA, AR
ZIP 71953-512
Phone: (479) 394-2534
Fax: (479) 394-7012

The provider's authorized official is Carlos Barrett Rocha .
The authorized official title is Owner/physician and has the following contact phone number (479) 394-2534.

The CLIA number assigned to this NPI record is 04D0929332 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/20/2006 and was last updated on 9/2/2010.


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
1207V00000XObstetrics & GynecologyE2878ARKANSASYes

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
1H35829MEDICARE UPINARKANSAS
25L863MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
35L863OTHERARKANSASBLUECROSS NUMBER
4143840001MEDICAIDARKANSAS

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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