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EAST ARKANSAS FAMILY HEALTH CENTER INC NPI 1487935359


NPI Information

NPI: 1487935359
Provider Name: EAST ARKANSAS FAMILY HEALTH CENTER INC

Doing Business As: HEALTHY PARTNERS

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 04D1100296

Address:
605 N 2ND ST
BLYTHEVILLE, AR
ZIP 72315
Phone: (870) 532-6001
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EAST ARKANSAS FAMILY HEALTH CENTER INC is a dental clinic center in Blytheville, AR. EAST ARKANSAS FAMILY HEALTH CENTER INC NPI is 1487935359. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthy Partners.

The provider's business location address is:

605 N 2ND ST
BLYTHEVILLE, AR
ZIP 72315-034
Phone: (870) 532-6001
Fax: (870) 532-6008

The provider's authorized official is Susan E 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 04D1100296 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2011 and was last updated on 11/18/2020.


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
1261QD0000XClinic/CenterDentalYes

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
1179761749MEDICAIDARKANSAS

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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