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WILLOW STREET HEALTH CENTER LTD NPI 1376529834


NPI Information

NPI: 1376529834
Provider Name: WILLOW STREET HEALTH CENTER, LTD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
406 N WILLOW ST
HARRISON, AR
ZIP 72601
Phone: (870) 741-3252
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WILLOW STREET HEALTH CENTER, LTD is a family medicine in Harrison, 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. WILLOW STREET HEALTH CENTER, LTD NPI is 1376529834. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

406 N WILLOW ST
HARRISON, AR
ZIP 72601-517
Phone: (870) 741-3252
Fax: (870) 741-3962

The provider's authorized official is Geoffrey Lawrence Dunaway .
The authorized official title is President and has the following contact phone number (870) 741-3252.

The enumeration date for this NPI number is 12/16/2005 and was last updated on 9/5/2007.


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
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
157524MEDICARE ID-TYPE UNSPECIFIEDARKANSAS

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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