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THRONEBERRY FAMILY CLINIC P.A. NPI 1538296256


NPI Information

NPI: 1538296256
Provider Name: THRONEBERRY FAMILY CLINIC, P.A.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 04D0466303

Address:
2869 COLLEGE AVE
CONWAY, AR
ZIP 72034
Phone: (501) 327-2611
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THRONEBERRY FAMILY CLINIC, P.A. is a clinic center in Conway, AR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). THRONEBERRY FAMILY CLINIC, P.A. NPI is 1538296256. The provider is registered as an organization entity type.

The provider's business location address is:

2869 COLLEGE AVE
CONWAY, AR
ZIP 72034-087
Phone: (501) 327-2611
Fax: (501) 336-9763

The provider's authorized official is James Barton Throneberry .
The authorized official title is Owner and has the following contact phone number (501) 327-2611.

The CLIA number assigned to this NPI record is 04D0466303 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/28/2007 and was last updated on 5/4/2021.


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
1261Q00000XClinic/CenterMC1741ARKANSASYes

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: 11/14/2023

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.