Provider Type Icon

CROWLEYS RIDGE FAMILY PRACTICE LLC NPI 1578676045


NPI Information

NPI: 1578676045
Provider Name: CROWLEYS RIDGE FAMILY PRACTICE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
904 HOLIDAY DR
SUITE 404
FORREST CITY, AR
ZIP 72335
Phone: (870) 630-1683
Get Directions

CROWLEYS RIDGE FAMILY PRACTICE LLC is a family medicine in Forrest City, 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. CROWLEYS RIDGE FAMILY PRACTICE LLC NPI is 1578676045. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

904 HOLIDAY DR
SUITE 404
FORREST CITY, AR
ZIP 72335-183
Phone: (870) 630-1683
Fax: (870) 630-0308

The provider's authorized official is David M Coss .
The authorized official title is Owner and has the following contact phone number (870) 630-1683.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 8/22/2020.


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

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

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.