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PREFERRED MEDICAL ASSOCIATES LLC NPI 1760718514


NPI Information

NPI: 1760718514
Provider Name: PREFERRED MEDICAL ASSOCIATES LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
40 PLAZA WAY
SUITE 30
MOUNTAIN HOME, AR
ZIP 72653
Phone: (870) 492-9000
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PREFERRED MEDICAL ASSOCIATES LLC is a general practice in Mountain Home, AR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PREFERRED MEDICAL ASSOCIATES LLC NPI is 1760718514. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

40 PLAZA WAY
SUITE 30
MOUNTAIN HOME, AR
ZIP 72653-265
Phone: (870) 492-9000
Fax: (870) 492-9003

The provider's authorized official is Adam R Wozniak .
The authorized official title is Owner and has the following contact phone number (870) 492-9000.

The enumeration date for this NPI number is 10/29/2009 and was last updated on 9/1/2010.


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
1363LF0000XNurse PractitionerFamilyNo
2208D00000XGeneral PracticeYes

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
15G193OTHERARK BCBS
25G368MEDICARE UPINARKANSAS
3180515002MEDICAIDARKANSAS

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

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.