FORE FAMILY PRACTICE LLC NPI 1174961239

NPI Information

  • NPI: 1174961239
  • Provider Name: FORE FAMILY PRACTICE LLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • CLIA Number: 04D2061591
  • Address: 307 N MAIN ST
    CAVE CITY, AR
    ZIP 72521
  • Phone: (870) 283-5550

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NPI Details

FORE FAMILY PRACTICE LLC is a rural health clinic center in Cave City, AR. FORE FAMILY PRACTICE LLC NPI is 1174961239. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

307 N MAIN ST
CAVE CITY, AR
ZIP 72521-700
Phone: (870) 283-5550

The provider's authorized official is Amber L Fore .
The authorized official title is Owner and has the following contact phone number (870) 283-5550.

The CLIA number assigned to this NPI record is 04D2061591 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2013 and was last updated on 6/11/2013.

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
1363L00000XNurse PractitionerNo
2261QR1300XClinic/CenterRural HealthYes

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: 11/21/2025

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