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SOUTHWEST ARKANSAS EAR NOSE & THROAT CLINIC NPI 1124216700


NPI Information

NPI: 1124216700
Provider Name: SOUTHWEST ARKANSAS EAR, NOSE & THROAT CLINIC
Classification: Otolaryngology - 207YS0123X
Entity Type: Organization

Specialization: Facial Plastic Surgery

Address:
100 E 20TH ST STE A
HOPE, AR
ZIP 71801
Phone: (870) 722-6200
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SOUTHWEST ARKANSAS EAR, NOSE & THROAT CLINIC is a facial plastic surgery otolaryngology in Hope, AR. The provider is an otolaryngologist who specializes in facial plastic surgery. SOUTHWEST ARKANSAS EAR, NOSE & THROAT CLINIC NPI is 1124216700. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 E 20TH ST STE A
HOPE, AR
ZIP 71801-222
Phone: (870) 722-6200
Fax: (870) 722-2927

The provider's authorized official is Stephen C. Skaleski .
The authorized official title is Office Manager and has the following contact phone number (870) 722-6200.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 5/13/2011.


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
1207YS0123XOtolaryngologyFacial Plastic SurgeryR2502ARKANSASYes

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
1106113001MEDICAIDARKANSAS
255795OTHERARKANSASBLUE CROSS BLUE SHIELD
355795MEDICARE PINARKANSAS
4D05019MEDICARE UPINARKANSAS

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

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