MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA NPI 1063947604

NPI Information

NPI: 1063947604
Provider Name: MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
4700 S THOMPSON ST STE C103
SPRINGDALE, AR
ZIP 72764
Phone: (479) 571-6363
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MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA is a professional counselor in Springdale, AR. MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA NPI is 1063947604. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4700 S THOMPSON ST STE C103
SPRINGDALE, AR
ZIP 72764-558
Phone: (479) 571-6363
Fax: (479) 684-3971

The provider's authorized official is John Jordin .
The authorized official title is Cio and has the following contact phone number (479) 571-6780.

The enumeration date for this NPI number is 4/20/2017 and was last updated on 2/11/2019.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	MC-2482	ARKANSAS	No
2	106H00000X	Marriage & Family Therapist				No
3	101YP2500X	Counselor	Professional			Yes

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: 11/14/2023

NPI Synchronization or Removal

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