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JOHN PATTON BLACKMD NPI 1194766584


NPI Information

NPI: 1194766584
Provider Name: JOHN PATTON BLACK,MD

Doing Business As: DBA MOUNTAIN HOME EMERGENCY GROUP

Classification: Personal Emergency Response Attendant - 146D00000X
Entity Type: Organization
Address:
624 HOSPITAL DR
MOUNTAIN HOME, AR
ZIP 72653
Phone: (870) 424-7070
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JOHN PATTON BLACK,MD is a personal emergency response attendant in Mountain Home, AR. The provider is individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance. JOHN PATTON BLACK,MD NPI is 1194766584. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dba Mountain Home Emergency Group.

The provider's business location address is:

624 HOSPITAL DR
MOUNTAIN HOME, AR
ZIP 72653-955
Phone: (870) 424-7070
Fax: (870) 424-6616

The provider's authorized official is John Patton Black .
The authorized official title is Owner and has the following contact phone number (870) 424-7070.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 12/17/2007.


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
1146D00000XPersonal Emergency Response AttendantC67844ARKANSASYes

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
15C526MEDICARE PINARKANSAS

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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