EAST ARKANSAS FAMILY HEALTH CENTER INC NPI 1427572213

NPI Information

NPI: 1427572213
Provider Name: EAST ARKANSAS FAMILY HEALTH CENTER, INC

Doing Business As: ASU MID SOUTH HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2000 W. BROADWAY ST. TRLR 1
WEST MEMPHIS, AR
ZIP 72301
Phone: (870) 735-3842
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EAST ARKANSAS FAMILY HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in West Memphis, AR. EAST ARKANSAS FAMILY HEALTH CENTER, INC NPI is 1427572213. The provider is registered as an organization entity type.
The provider Is Doing Business As Asu Mid South Health Center.

The provider's business location address is:

2000 W. BROADWAY ST. TRLR 1
WEST MEMPHIS, AR
ZIP 72301-829
Phone: (870) 735-3842

The provider's authorized official is Susan Ward-jones .
The authorized official title is Ceo and has the following contact phone number (870) 735-3842.

The CLIA number assigned to this NPI record is 04D2134148 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2017 and was last updated on 7/21/2022.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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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