WEST CARROLL HEALTH SYSTEMS LLC NPI 1003894395

NPI Information

  • NPI: 1003894395
  • Provider Name: WEST CARROLL HEALTH SYSTEMS LLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: EUDORA MEDICAL CLINIC
  • Address: 200 S MAIN STREET
    EUDORA, AR
    ZIP 71640
  • Phone: (870) 355-2300

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NPI Details

WEST CARROLL HEALTH SYSTEMS LLC is a rural health clinic center in Eudora, AR. WEST CARROLL HEALTH SYSTEMS LLC NPI is 1003894395. The provider is registered as an organization entity type.
The provider Is Doing Business As Eudora Medical Clinic.

The provider's business location address is:

200 S MAIN STREET
EUDORA, AR
ZIP 71640
Phone: (870) 355-2300
Fax: (870) 355-6323

The provider's authorized official is Dewana Little .
The authorized official title is Administrator and has the following contact phone number (318) 428-3237.

The enumeration date for this NPI number is 1/6/2006 and was last updated on 11/6/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15C962OTHERARKANSASARKANSAS BLUE CROSS
2150098729MEDICAIDARKANSAS
3043463MEDICARE ID-TYPE UNSPECIFIEDARKANSASMEDICARE TRISPAN

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: 3/30/2025

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