SALEM FAMILY CLINIC NPI 1376519454

NPI Information

  • NPI: 1376519454
  • Provider Name: SALEM FAMILY CLINIC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 04D2173838
  • Address: 507 N MAIN ST
    SALEM, AR
    ZIP 72576
  • Phone: (870) 895-2541

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NPI Details

SALEM FAMILY CLINIC is a general practice in Salem, AR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SALEM FAMILY CLINIC NPI is 1376519454. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

507 N MAIN ST
SALEM, AR
ZIP 72576-449
Phone: (870) 895-2541
Fax: (870) 895-2957

The provider's authorized official is Michael N Moody .
The authorized official title is Medical Doctor and has the following contact phone number (870) 895-2541.

The CLIA number assigned to this NPI record is 04D2173838 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/27/2006 and was last updated on 12/22/2010.

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
1208D00000XGeneral PracticeMC0433ARKANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
156757MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
2102260002MEDICAIDARKANSAS

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: 3/30/2025

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