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SOUTH ARKANSAS MEDICAL ASSOCIATES IDTF NPI 1508802034


NPI Information

NPI: 1508802034
Provider Name: SOUTH ARKANSAS MEDICAL ASSOCIATES IDTF

Doing Business As: SAMA HEALTHCARE SERVICES IDTF

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
600 S TIMBERLANE DR
EL DORADO, AR
ZIP 71730
Phone: (870) 862-2400
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SOUTH ARKANSAS MEDICAL ASSOCIATES IDTF is a radiology clinic center in El Dorado, AR. SOUTH ARKANSAS MEDICAL ASSOCIATES IDTF NPI is 1508802034. The provider is registered as an organization entity type.
The provider Is Doing Business As Sama Healthcare Services Idtf.

The provider's business location address is:

600 S TIMBERLANE DR
EL DORADO, AR
ZIP 71730-990
Phone: (870) 862-2400
Fax: (870) 862-1891

The provider's authorized official is Jerry E Detwiler .
The authorized official title is Administrator and has the following contact phone number (870) 864-8120.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0200XClinic/CenterRadiologyYes

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: 5/5/2024

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