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METRO SPRINGDALE TREATMENT CENTER INC NPI 1104841600


NPI Information

NPI: 1104841600
Provider Name: METRO SPRINGDALE TREATMENT CENTER, INC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1670 W SUNSET AVE
STE B
SPRINGDALE, AR
ZIP 72762
Phone: (479) 725-2555
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METRO SPRINGDALE TREATMENT CENTER, INC is a clinic center in Springdale, AR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). METRO SPRINGDALE TREATMENT CENTER, INC NPI is 1104841600. The provider is registered as an organization entity type.

The provider's business location address is:

1670 W SUNSET AVE
STE B
SPRINGDALE, AR
ZIP 72762-136
Phone: (479) 725-2555
Fax: (479) 725-2562

The provider's authorized official is Michael E Dickerson .
The authorized official title is Ceo and has the following contact phone number (316) 200-4424.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 8/22/2020.


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
1261Q00000XClinic/Center0602898ARKANSASYes

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

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