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PRIMARY CARE 360 NPI 1134734049


NPI Information

NPI: 1134734049
Provider Name: PRIMARY CARE 360
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
103 FRANKIE LN
WHITE HALL, AR
ZIP 71602
Phone: (870) 393-5050
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PRIMARY CARE 360 is a non pharmacy dispensing site in White Hall, AR. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) PRIMARY CARE 360 NPI is 1134734049. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

103 FRANKIE LN
WHITE HALL, AR
ZIP 71602-685
Phone: (870) 393-5050

The provider's authorized official is Khalid Rayaz .
The authorized official title is Owner and has the following contact phone number (870) 393-5050.

The enumeration date for this NPI number is 9/9/2020 and was last updated on 9/9/2020.


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
1207Q00000XFamily MedicineNo
2332900000XNon-Pharmacy Dispensing SiteYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.