MCGEHEE FAMILY CLINIC PA NPI 1083678437

NPI Information

MCGEHEE FAMILY CLINIC PA is a rural health clinic center in Mc Gehee, AR. MCGEHEE FAMILY CLINIC PA NPI is 1083678437. The provider is registered as an organization entity type.

The provider's business location address is:

601 HOLLY ST
MC GEHEE, AR
ZIP 71654-108
Phone: (870) 222-6131
Fax: (870) 222-5909

The provider's authorized official is James E. Young .
The authorized official title is M.d. and has the following contact phone number (870) 222-6131.

The CLIA number assigned to this NPI record is 04D0872195 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/13/2006 and was last updated on 4/9/2010.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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