MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA NPI 1386694933

NPI Information

NPI: 1386694933
Provider Name: MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
775 E DOUGLAS ST
PRAIRIE GROVE, AR
ZIP 72753
Phone: (479) 267-5600
Get Directions

MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA is a family medicine in Prairie Grove, 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. MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA NPI is 1386694933. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

775 E DOUGLAS ST
PRAIRIE GROVE, AR
ZIP 72753-735
Phone: (479) 267-5600
Fax: (479) 846-5056

The provider's authorized official is Terry Hurt .
The authorized official title is Cfo and has the following contact phone number (479) 571-6780.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 1/17/2024.

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
1	207Q00000X	Family Medicine				Yes

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
1	5B775	OTHER	ARKANSAS	AR BLUE CROSS/BLUE SHIELD
2	155659002	MEDICAID	ARKANSAS
3	56750	OTHER	ARKANSAS	AR BC/BS

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

NPI Synchronization or Removal

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