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EAST ARKANSAS FAMILY HEALTH CENTER INC. NPI 1649704156


NPI Information

NPI: 1649704156
Provider Name: EAST ARKANSAS FAMILY HEALTH CENTER, INC.

Doing Business As: EARLE FAMILY HEALTH CENTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 04D0467668

Address:
216 ARKANSAS ST
EARLE, AR
ZIP 72331
Phone: (870) 792-7676
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EAST ARKANSAS FAMILY HEALTH CENTER, INC. is a general practice dentist in Earle, AR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. EAST ARKANSAS FAMILY HEALTH CENTER, INC. NPI is 1649704156. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Earle Family Health Center.

The provider's business location address is:

216 ARKANSAS ST
EARLE, AR
ZIP 72331-217
Phone: (870) 792-7676
Fax: (870) 792-7605

The provider's authorized official is Consandra Johnson .
The authorized official title is Billing Clerk and has the following contact phone number (870) 733-6389.

The CLIA number assigned to this NPI record is 04D0467668 - other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/12/2017 and was last updated on 11/18/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice3720ARKANSASYes

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.