JACKSONVILLE EMERGENCY MEDICINE LLC NPI 1093044166

NPI Information

  • NPI: 1093044166
  • Provider Name: JACKSONVILLE EMERGENCY MEDICINE LLC
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Organization
  • Address: 1400 BRADEN ST
    JACKSONVILLE, AR
    ZIP 72076
  • Phone: (501) 985-7000

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NPI Details

JACKSONVILLE EMERGENCY MEDICINE LLC is an emergency medicine in Jacksonville, AR. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. JACKSONVILLE EMERGENCY MEDICINE LLC NPI is 1093044166. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1400 BRADEN ST
JACKSONVILLE, AR
ZIP 72076-721
Phone: (501) 985-7000

The provider's authorized official is Ruby Frederick Yates .
The authorized official title is President and has the following contact phone number (318) 256-0724.

The enumeration date for this NPI number is 12/18/2009 and was last updated on 12/18/2009.

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
1207P00000XEmergency MedicineYes

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: 3/30/2025

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