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DARDANELLE REGIONAL LLC NPI 1730737131


NPI Information

NPI: 1730737131
Provider Name: DARDANELLE REGIONAL, LLC

Doing Business As: DARDANELLE REGIONAL MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 04D0469061

Address:
200 N 3RD ST STE 1
DARDANELLE, AR
ZIP 72834
Phone: (479) 229-6191
Get Directions

DARDANELLE REGIONAL, LLC is a family medicine in Dardanelle, 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. DARDANELLE REGIONAL, LLC NPI is 1730737131. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dardanelle Regional Medical Clinic.

The provider's business location address is:

200 N 3RD ST STE 1
DARDANELLE, AR
ZIP 72834-802
Phone: (479) 229-6191
Fax: (479) 229-6194

The provider's authorized official is Brandy Talley .
The authorized official title is Controller and has the following contact phone number (479) 229-4677.

The CLIA number assigned to this NPI record is 04D0469061 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/28/2019 and was last updated on 11/9/2023.


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: 4/28/2024

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