Provider Type Icon

FAMILY MEDICAL WALK-IN CLINIC PA NPI 1376848978


NPI Information

NPI: 1376848978
Provider Name: FAMILY MEDICAL WALK-IN CLINIC PA

Doing Business As: ROGERS FAMILY MEDICAL WALK-IN CLINIC

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 04D0669583

Address:
1310 W WALNUT ST
SUITE F
ROGERS, AR
ZIP 72756
Phone: (855) 707-5550
Get Directions

FAMILY MEDICAL WALK-IN CLINIC PA is an urgent care clinic center in Rogers, AR. FAMILY MEDICAL WALK-IN CLINIC PA NPI is 1376848978. The provider is registered as an organization entity type.
The provider Is Doing Business As Rogers Family Medical Walk-in Clinic.

The provider's business location address is:

1310 W WALNUT ST
SUITE F
ROGERS, AR
ZIP 72756-316
Phone: (855) 707-5550

The provider's authorized official is Daniel J Burke .
The authorized official title is Owner/medical Director and has the following contact phone number (417) 890-5550.

The CLIA number assigned to this NPI record is 04D0669583 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/13/2011 and was last updated on 6/6/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareYes

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
1186131002MEDICAIDARKANSAS
25G757MEDICARE PINARKANSAS

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

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.