Provider Type Icon

NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION INC. NPI 1033491519


NPI Information

NPI: 1033491519
Provider Name: NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.

Doing Business As: NEA BAPTIST CLINIC DIALYSIS CENTER/HILLTOP

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
4909 EAST JOHNSON AVE.
JONESBORO, AR
ZIP 72401
Phone: (870) 336-3372
Get Directions

NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. is an end-stage renal disease (esrd) treatment clinic center in Jonesboro, AR. NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. NPI is 1033491519. The provider is registered as an organization entity type.
The provider Is Doing Business As Nea Baptist Clinic Dialysis Center/hilltop.

The provider's business location address is:

4909 EAST JOHNSON AVE.
JONESBORO, AR
ZIP 72401
Phone: (870) 336-3372
Fax: (870) 934-3658

The provider's authorized official is Gregory M Duckett .
The authorized official title is Sr Vp/ Clo and has the following contact phone number (901) 227-5233.

The enumeration date for this NPI number is 9/12/2011 and was last updated on 9/30/2020.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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
1200341134MEDICAIDARKANSAS
212577OTHERARKANSASBCBS

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

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.