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COLLOM & CARNEY CLINIC NPI 1740262732


NPI Information

NPI: 1740262732
Provider Name: COLLOM & CARNEY CLINIC

Other Name: COLLOM AND CARNEY CLINIC PRESCOTT CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D0915991

Address:
1440 W 1ST N
PRESCOTT, AR
ZIP 71853
Phone: (870) 887-8001
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COLLOM & CARNEY CLINIC is a family medicine in Prescott, 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. COLLOM & CARNEY CLINIC NPI is 1740262732. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Collom And Carney Clinic Prescott Clinic.

The provider's business location address is:

1440 W 1ST N
PRESCOTT, AR
ZIP 71853
Phone: (870) 887-8001

The provider's authorized official is Mary E Dwight .
The authorized official title is Chief Operating Officer and has the following contact phone number (903) 614-3282.

The CLIA number assigned to this NPI record is 45D0915991 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2005 and was last updated on 2/24/2023.


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 MedicineTEXASYes

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
1149724002MEDICAIDARKANSAS
2CC9231OTHERRAILROAD MEDICARE

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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