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CHRIST HEALTH PRIMARY CARE CLINIC NPI 1558316406


NPI Information

NPI: 1558316406
Provider Name: CHRIST HEALTH PRIMARY CARE CLINIC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 04D1004632

Address:
500 S UNIVERSITY AVE
119
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 664-6400
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CHRIST HEALTH PRIMARY CARE CLINIC is a specialist in Little Rock, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CHRIST HEALTH PRIMARY CARE CLINIC NPI is 1558316406. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

500 S UNIVERSITY AVE
119
LITTLE ROCK, AR
ZIP 72205-302
Phone: (501) 664-6400
Fax: (501) 664-6431

The provider's authorized official is Nkechi Patricia Ugwuh-moss .
The authorized official title is Doctor/owner and has the following contact phone number (501) 664-6400.

The CLIA number assigned to this NPI record is 04D1004632 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/22/2006 and was last updated on 8/24/2007.


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
1174400000XSpecialistE1042ARKANSASYes

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
1G29188MEDICARE UPINARKANSAS

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.