FAMILY MEDICINE ASSOCIATES OF BLYTHEVILLE PA NPI 1609934249

NPI Information

  • NPI: 1609934249
  • Provider Name: FAMILY MEDICINE ASSOCIATES OF BLYTHEVILLE PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 04D0467710
  • Address: 1521 N 10TH ST
    STE C
    BLYTHEVILLE, AR
    ZIP 72315
  • Phone: (870) 762-5360

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NPI Details

FAMILY MEDICINE ASSOCIATES OF BLYTHEVILLE PA is a family medicine in Blytheville, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY MEDICINE ASSOCIATES OF BLYTHEVILLE PA NPI is 1609934249. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1521 N 10TH ST
STE C
BLYTHEVILLE, AR
ZIP 72315-405
Phone: (870) 762-5360
Fax: (870) 762-2095

The provider's authorized official is Richard L Hester .
The authorized official title is Md President and has the following contact phone number (870) 762-5362.

The CLIA number assigned to this NPI record is 04D0467710 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/5/2006 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
1207Q00000XFamily MedicineYes

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: 3/30/2025

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