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WESTERN ARKANSAS PRIMARY CARE NPI 1336577238


NPI Information

NPI: 1336577238
Provider Name: WESTERN ARKANSAS PRIMARY CARE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2617 E MAIN ST
CHARLESTON, AR
ZIP 72933
Phone: (479) 965-8888
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WESTERN ARKANSAS PRIMARY CARE is a primary care clinic center in Charleston, AR. WESTERN ARKANSAS PRIMARY CARE NPI is 1336577238. The provider is registered as an organization entity type.

The provider's business location address is:

2617 E MAIN ST
CHARLESTON, AR
ZIP 72933-637
Phone: (479) 965-8888
Fax: (479) 965-8889

The provider's authorized official is Tommy Qualls .
The authorized official title is Office Manager and has the following contact phone number (479) 965-8888.

The enumeration date for this NPI number is 10/31/2013 and was last updated on 10/31/2013.


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
1261QP2300XClinic/CenterPrimary CareYes

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: 5/5/2024

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