HOPE MEDICAL CLINIC INC NPI 1013245471

NPI Information

NPI: 1013245471
Provider Name: HOPE MEDICAL CLINIC INC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 04D2003978

Address:
145 SHAKE RAG RD
CLINTON, AR
ZIP 72031
Phone: (501) 745-7161
Get Directions

HOPE MEDICAL CLINIC INC is a rural health clinic center in Clinton, AR. HOPE MEDICAL CLINIC INC NPI is 1013245471. The provider is registered as an organization entity type.

The provider's business location address is:

145 SHAKE RAG RD
CLINTON, AR
ZIP 72031-682
Phone: (501) 745-7161
Fax: (501) 745-8714

The provider's authorized official is Stefanie Shaver .
The authorized official title is Office Manager and has the following contact phone number (501) 745-7161.

The CLIA number assigned to this NPI record is 04D2003978 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/24/2009 and was last updated on 9/22/2014.

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
1	261QR1300X	Clinic/Center	Rural Health			Yes

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
1	5G436	MEDICARE PIN	ARKANSAS
2	185295729	MEDICAID	ARKANSAS
3	043832	MEDICARE OSCAR/CERTIFICATION	ARKANSAS

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »