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ARKANSAS RURAL KARE INC. NPI 1437168424


NPI Information

NPI: 1437168424
Provider Name: ARKANSAS RURAL KARE, INC.

Doing Business As: MULBERRY FAMILY CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 04D0469327

Address:
437 N MAIN ST
MULBERRY, AR
ZIP 72947
Phone: (479) 997-1484
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ARKANSAS RURAL KARE, INC. is a rural health clinic center in Mulberry, AR. ARKANSAS RURAL KARE, INC. NPI is 1437168424. The provider is registered as an organization entity type.
The provider Is Doing Business As Mulberry Family Clinic.

The provider's business location address is:

437 N MAIN ST
MULBERRY, AR
ZIP 72947-574
Phone: (479) 997-1484
Fax: (479) 997-1494

The provider's authorized official is Wayne King .
The authorized official title is Administrator and has the following contact phone number (479) 494-0009.

The CLIA number assigned to this NPI record is 04D0469327 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/7/2006 and was last updated on 1/25/2017.


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
1261QR1300XClinic/CenterRural HealthYes

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
1043858MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
2770245102OTHERARKANSASARKANSAS BREASTCARE
3DA0782MEDICARE 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

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