EAST ARKANSAS CHILDREN'S CLINIC NPI 1497769921

NPI Information

EAST ARKANSAS CHILDREN'S CLINIC is a primary care clinic center in Forrest City, AR. EAST ARKANSAS CHILDREN'S CLINIC NPI is 1497769921. The provider is registered as an organization entity type.

The provider's business location address is:

901 HOLIDAY DR
FORREST CITY, AR
ZIP 72335-183
Phone: (870) 633-0880
Fax: (870) 633-3801

The provider's authorized official is William C. Patton .
The authorized official title is Owner and has the following contact phone number (870) 633-0880.

The CLIA number assigned to this NPI record is 04D0467766 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/28/2006 and was last updated on 1/22/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.