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MITCHELL FAMILY MEDICINE LLC NPI 1528537461


NPI Information

NPI: 1528537461
Provider Name: MITCHELL FAMILY MEDICINE, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 04D2165967

Address:
924 STATE HIGHWAY 77
MARION, AR
ZIP 72364
Phone: (870) 739-8670
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MITCHELL FAMILY MEDICINE, LLC is a family medicine in Marion, 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. MITCHELL FAMILY MEDICINE, LLC NPI is 1528537461. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

924 STATE HIGHWAY 77
MARION, AR
ZIP 72364-004
Phone: (870) 739-8670
Fax: (870) 739-8706

The provider's authorized official is Aaron Mitchell .
The authorized official title is Ceo and has the following contact phone number (870) 739-8670.

The CLIA number assigned to this NPI record is 04D2165967 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/21/2018 and was last updated on 11/21/2018.


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 MedicineYes

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
1198344001MEDICAIDARKANSAS

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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