ARKANSAS CENTRAL PRIMARY CARE PLLC NPI 1396996740

NPI Information

  • NPI: 1396996740
  • Provider Name: ARKANSAS CENTRAL PRIMARY CARE, PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: JACKSONVILLE MEDICAL CARE
  • Address: 1300 BRADEN ST.
    JACKSONVILLE, AR
    ZIP 72076
  • Phone: (501) 985-5900

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NPI Details

ARKANSAS CENTRAL PRIMARY CARE, PLLC is a family medicine in Jacksonville, 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. ARKANSAS CENTRAL PRIMARY CARE, PLLC NPI is 1396996740. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Jacksonville Medical Care.

The provider's business location address is:

1300 BRADEN ST.
JACKSONVILLE, AR
ZIP 72076-719
Phone: (501) 985-5900
Fax: (501) 985-6016

The provider's authorized official is Gary Drew Jackson .
The authorized official title is Clinic Administrator and has the following contact phone number (501) 985-5994.

The enumeration date for this NPI number is 10/3/2008 and was last updated on 2/2/2011.

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 PracticeNo
2207Q00000XFamily 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16409350001MEDICARE NSCARKANSAS
25G152MEDICARE PINARKANSAS
3142734002MEDICAIDARKANSAS
4176116002MEDICAIDARKANSAS

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: 11/21/2025

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