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BRADLEY COUNTY MEDICAL CENTER NPI 1588917736


NPI Information

NPI: 1588917736
Provider Name: BRADLEY COUNTY MEDICAL CENTER

Doing Business As: BRADLEY COUNTY MEDICAL CENTER WOMEN'S CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
304 E CENTRAL ST
WARREN, AR
ZIP 71671
Phone: (870) 226-8636
Get Directions

BRADLEY COUNTY MEDICAL CENTER is a clinic center in Warren, 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). BRADLEY COUNTY MEDICAL CENTER NPI is 1588917736. The provider is registered as an organization entity type.
The provider Is Doing Business As Bradley County Medical Center Women's Clinic.

The provider's business location address is:

304 E CENTRAL ST
WARREN, AR
ZIP 71671-452
Phone: (870) 226-8636
Fax: (870) 226-8655

The provider's authorized official is Leslie Huitt .
The authorized official title is Ceo/cfo and has the following contact phone number (870) 226-4301.

The enumeration date for this NPI number is 10/24/2012 and was last updated on 11/11/2022.


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/CenterYes

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
1196927002MEDICAIDARKANSAS

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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