SPAVINAW CLINICS INC NPI 1023028016

NPI Information

SPAVINAW CLINICS, INC is a rural health clinic center in Decatur, AR. SPAVINAW CLINICS, INC NPI is 1023028016. The provider is registered as an organization entity type.
The provider Is Doing Business As Decatur Medi Clinic.

The provider's business location address is:

346 N. MAIN STREET
DECATUR, AR
ZIP 72722-735
Phone: (479) 752-3232
Fax: (479) 752-3235

The provider's authorized official is Patrick Michael Mccollum .
The authorized official title is Administrator and has the following contact phone number (479) 752-3233.

The CLIA number assigned to this NPI record is 04D0468723 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 4/11/2019.

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:

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