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CLARKSVILLE MEDICAL GROUP P.A. NPI 1508918467


NPI Information

NPI: 1508918467
Provider Name: CLARKSVILLE MEDICAL GROUP, P.A.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
601 W MCKENNON ST
CLARKSVILLE, AR
ZIP 72830
Phone: (479) 754-8384
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CLARKSVILLE MEDICAL GROUP, P.A. is a durable medical equipment medical supplies in Clarksville, AR. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CLARKSVILLE MEDICAL GROUP, P.A. NPI is 1508918467. The provider is registered as an organization entity type.

The provider's business location address is:

601 W MCKENNON ST
CLARKSVILLE, AR
ZIP 72830-523
Phone: (479) 754-8384
Fax: (479) 754-7141

The provider's authorized official is Leanna J Perrett .
The authorized official title is Office Manager and has the following contact phone number (479) 754-8384.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 3/13/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesMC0283ARKANSASYes

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
10790780001MEDICARE NSCARKANSAS
20790780001OTHERARKANSASDURABLE MEDICAL EQUIPMENT

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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