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INTEGRATED MEDICAL PA NPI 1982079398


NPI Information

NPI: 1982079398
Provider Name: INTEGRATED MEDICAL, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 04D2117659

Address:
593 S HORSEBARN RD
SUITE 101
ROGERS, AR
ZIP 72758
Phone: (479) 271-9191
Get Directions

INTEGRATED MEDICAL, PA is a family medicine in Rogers, 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. INTEGRATED MEDICAL, PA NPI is 1982079398. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

593 S HORSEBARN RD
SUITE 101
ROGERS, AR
ZIP 72758-795
Phone: (479) 271-9191
Fax: (479) 271-9196

The provider's authorized official is Carlos Suarez .
The authorized official title is Medical Director and has the following contact phone number (479) 271-9191.

The CLIA number assigned to this NPI record is 04D2117659 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/10/2015 and was last updated on 12/10/2015.


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 MedicineE-7482ARKANSASYes

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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