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JACKIE COOMBE-MOORE PA NPI 1841513223


NPI Information

NPI: 1841513223
Provider Name: JACKIE COOMBE-MOORE PA

Doing Business As: CONWAY PSYCHIATRIC CENTER

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
680 HOGAN LN
CONWAY, AR
ZIP 72034
Phone: (501) 505-8900
Get Directions

JACKIE COOMBE-MOORE PA is a psychiatry psychiatry neurology in Conway, AR. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. JACKIE COOMBE-MOORE PA NPI is 1841513223. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Conway Psychiatric Center.

The provider's business location address is:

680 HOGAN LN
CONWAY, AR
ZIP 72034-131
Phone: (501) 505-8900
Fax: (501) 505-8902

The provider's authorized official is Jackie Coombe-moore .
The authorized official title is President and has the following contact phone number (501) 505-8900.

The enumeration date for this NPI number is 3/12/2010 and was last updated on 3/26/2010.


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
12084P0800XPsychiatry & NeurologyPsychiatryYes

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
111547000000OTHERARKANSASQCA
2F35975MEDICARE UPINARKANSAS
3122013001MEDICAIDARKANSAS
455779OTHERARKANSASMEDICARE PTAN

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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