FORE FAMILY PRACTICE LLC NPI 1174961239

NPI Information

NPI: 1174961239
Provider Name: FORE FAMILY PRACTICE LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 04D2061591

Address:
307 N MAIN ST
CAVE CITY, AR
ZIP 72521
Phone: (870) 283-5550
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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
1	363L00000X	Nurse Practitioner				No
2	261QR1300X	Clinic/Center	Rural Health			Yes

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

NPI Synchronization or Removal

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