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WYNNE MEDICAL CLINIC PA NPI 1548376148


NPI Information

NPI: 1548376148
Provider Name: WYNNE MEDICAL CLINIC PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
710 FALLS BLVD S
WYNNE, AR
ZIP 72396
Phone: (870) 238-2321
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WYNNE MEDICAL CLINIC PA is a family medicine in Wynne, 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. WYNNE MEDICAL CLINIC PA NPI is 1548376148. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

710 FALLS BLVD S
WYNNE, AR
ZIP 72396-514
Phone: (870) 238-2321
Fax: (870) 238-0114

The provider's authorized official is Shelia Burrow .
The authorized official title is Office Manager and has the following contact phone number (870) 238-2321.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 9/24/2013.


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
156687MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
2102040002MEDICAIDARKANSAS

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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