WEST POINT LLC NPI 1134974553

NPI Information

  • NPI: 1134974553
  • Provider Name: WEST POINT LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: WEST POINT
  • CLIA Number: 04D2306935
  • Address: 402 S MAIN ST
    DE WITT, AR
    ZIP 72042
  • Phone: (870) 946-0079

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NPI Details

WEST POINT LLC is a family medicine in De Witt, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WEST POINT LLC NPI is 1134974553. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As West Point.

The provider's business location address is:

402 S MAIN ST
DE WITT, AR
ZIP 72042-618
Phone: (870) 946-0079
Fax: (870) 946-0090

The provider's authorized official is Debra Charlene West .
The authorized official title is Aprn and has the following contact phone number (870) 946-0198.

The CLIA number assigned to this NPI record is 04D2306935 - other - family and psych integrat with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2024 and was last updated on 6/4/2024.

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
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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