SOVEREIGN FORCE PA NPI 1629252440

NPI Information

  • NPI: 1629252440
  • Provider Name: SOVEREIGN FORCE, PA
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: THE CLINIC AT COMMERCE CENTRE
  • Address: 301 SW 16TH ST
    BENTONVILLE, AR
    ZIP 72712
  • Phone: (479) 586-9800

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NPI Details

SOVEREIGN FORCE, PA is a primary care clinic center in Bentonville, AR. SOVEREIGN FORCE, PA NPI is 1629252440. The provider is registered as an organization entity type.
The provider Is Doing Business As The Clinic At Commerce Centre.

The provider's business location address is:

301 SW 16TH ST
BENTONVILLE, AR
ZIP 72712-173
Phone: (479) 586-9800

The provider's authorized official is Ajdahan D. Bicak .
The authorized official title is President and has the following contact phone number (479) 586-9800.

The enumeration date for this NPI number is 12/28/2007 and was last updated on 12/28/2007.

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
1261QP2300XClinic/CenterPrimary CareMC-2586ARKANSASYes

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: 11/21/2025

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