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FAMILY PRACTICE ASSOCIATES OF CLARKSVILLEPA NPI 1518957240


NPI Information

NPI: 1518957240
Provider Name: FAMILY PRACTICE ASSOCIATES OF CLARKSVILLE,PA
Classification: Legal Medicine - 173000000X
Entity Type: Organization

CLIA Number: 04D0906636

Address:
23 PROFESSIONAL PARK DR
CLARKSVILLE, AR
ZIP 72830
Phone: (479) 754-4721
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FAMILY PRACTICE ASSOCIATES OF CLARKSVILLE,PA is a legal medicine in Clarksville, AR. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. FAMILY PRACTICE ASSOCIATES OF CLARKSVILLE,PA NPI is 1518957240. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23 PROFESSIONAL PARK DR
CLARKSVILLE, AR
ZIP 72830-432
Phone: (479) 754-4721
Fax: (844) 584-4213

The provider's authorized official is Darlene Pratt .
The authorized official title is Administrator and has the following contact phone number (479) 754-4721.

The CLIA number assigned to this NPI record is 04D0906636 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/25/2005 and was last updated on 10/22/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1173000000XLegal MedicineMC-1606ARKANSASYes

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
15B690MEDICARE PINARKANSAS
2127426002MEDICAIDARKANSAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.