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PREMIER CENTRAL INC NPI 1265477582


NPI Information

NPI: 1265477582
Provider Name: PREMIER CENTRAL INC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 04D1037794

Address:
2001 S MAIN ST
STE 5
HOPE, AR
ZIP 71801
Phone: (870) 722-6568
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PREMIER CENTRAL INC is a pediatrics in Hope, AR. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PREMIER CENTRAL INC NPI is 1265477582. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2001 S MAIN ST
STE 5
HOPE, AR
ZIP 71801-124
Phone: (870) 722-6568
Fax: (870) 722-6353

The provider's authorized official is Sandra Ann Kaehukai Sooman .
The authorized official title is President and has the following contact phone number (870) 722-6568.

The CLIA number assigned to this NPI record is 04D1037794 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 8/22/2020.


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
1208000000XPediatricsE4344ARKANSASYes

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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