Provider Type Icon

ABRAHAM MEDICAL CENTER PA NPI 1275692790


NPI Information

NPI: 1275692790
Provider Name: ABRAHAM MEDICAL CENTER, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
15 GREEN VALLEY DR
MOUNTAIN HOME, AR
ZIP 72653
Phone: (870) 425-6991
Get Directions

ABRAHAM MEDICAL CENTER, PA is a family medicine in Mountain Home, 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. ABRAHAM MEDICAL CENTER, PA NPI is 1275692790. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15 GREEN VALLEY DR
MOUNTAIN HOME, AR
ZIP 72653-102
Phone: (870) 425-6991

The provider's authorized official is K Simon S Abraham .
The authorized official title is President and has the following contact phone number (870) 425-6991.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 1/6/2012.


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
1207Q00000XFamily MedicineYes

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
156676MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
2101015002MEDICAIDARKANSAS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.