COMMUNITY PHYSICIANS GROUP NPI 1699729095

NPI Information

NPI: 1699729095
Provider Name: COMMUNITY PHYSICIANS GROUP
Classification: Radiology - 2085B0100X
Entity Type: Organization

Specialization: Body Imaging

Address:
311 MORROW ST N
MENA, AR
ZIP 71953
Phone: (479) 394-6100
Get Directions

COMMUNITY PHYSICIANS GROUP is a body imaging radiology in Mena, AR. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. COMMUNITY PHYSICIANS GROUP NPI is 1699729095. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

311 MORROW ST N
MENA, AR
ZIP 71953-516
Phone: (479) 394-6100

The provider's authorized official is Tim Bowen .
The authorized official title is Ceo and has the following contact phone number (870) 289-5865.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 11/25/2013.

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
1	2085B0100X	Radiology	Body Imaging			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	770304502	MEDICAID	ARKANSAS
2	CJ3497	MEDICARE ID-TYPE UNSPECIFIED		RAILROAD
3	5C488	MEDICARE PIN	ARKANSAS
4	150034002	MEDICAID	ARKANSAS
5	200082550A	MEDICAID	OKLAHOMA

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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