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PHYSICIANS NETWORK INC. NPI 1689679169


NPI Information

NPI: 1689679169
Provider Name: PHYSICIANS NETWORK INC.

Doing Business As: PNI DBA JACKSONVILLE MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1300 BRADEN ST
JACKSONVILLE, AR
ZIP 72076
Phone: (501) 985-5900
Get Directions

PHYSICIANS NETWORK INC. is a family medicine in Jacksonville, 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. PHYSICIANS NETWORK INC. NPI is 1689679169. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pni Dba Jacksonville Medical Clinic.

The provider's business location address is:

1300 BRADEN ST
JACKSONVILLE, AR
ZIP 72076-719
Phone: (501) 985-5900
Fax: (501) 985-6016

The provider's authorized official is Julian Dale Calhoon .
The authorized official title is Medical Director and has the following contact phone number (501) 985-5900.

The enumeration date for this NPI number is 6/20/2005 and was last updated on 10/30/2008.


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
1207R00000XInternal Medicine=========ARKANSASNo
2207Q00000XFamily Medicine=========ARKANSASYes

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
14331570001MEDICARE NSCARKANSAS
25C449MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
3142734002MEDICAIDARKANSAS

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

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