NORTH ARKANSAS REGIONAL MEDICAL CENTER NPI 1588654982

NPI Information

NPI: 1588654982
Provider Name: NORTH ARKANSAS REGIONAL MEDICAL CENTER

Doing Business As: NEWTON COUNTY FAMILY PRACTICE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
502 W COURT ST
JASPER, AR
ZIP 72641
Phone: (870) 446-2203
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NORTH ARKANSAS REGIONAL MEDICAL CENTER is a rural health clinic center in Jasper, AR. NORTH ARKANSAS REGIONAL MEDICAL CENTER NPI is 1588654982. The provider is registered as an organization entity type.
The provider Is Doing Business As Newton County Family Practice.

The provider's business location address is:

502 W COURT ST
JASPER, AR
ZIP 72641
Phone: (870) 446-2203

The provider's authorized official is Ken Pannell .
The authorized official title is Vp Financial Services/cfo and has the following contact phone number (870) 414-5157.

The CLIA number assigned to this NPI record is 04D0891159 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2005 and was last updated on 12/8/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	AR3203	ARKANSAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	131314729	MEDICAID	ARKANSAS
2	5B499	OTHER	ARKANSAS	BLUE CROSS BLUE SHIELD

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

NPI Synchronization or Removal

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