SUMNER R CULLOM M D P A NPI 1861609570

NPI Information

  • NPI: 1861609570
  • Provider Name: SUMNER R CULLOM M D P A
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: CULLOM RURAL HEALTH CLINIC
  • Address: 700 W KEISER AVE
    OSCEOLA, AR
    ZIP 72370
  • Phone: (870) 563-6512

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NPI Details

SUMNER R CULLOM M D P A is a rural health clinic center in Osceola, AR. SUMNER R CULLOM M D P A NPI is 1861609570. The provider is registered as an organization entity type.
The provider Is Doing Business As Cullom Rural Health Clinic.

The provider's business location address is:

700 W KEISER AVE
OSCEOLA, AR
ZIP 72370-506
Phone: (870) 563-6512
Fax: (870) 563-5013

The provider's authorized official is Sumner R Cullom .
The authorized official title is Owner and has the following contact phone number (870) 563-6512.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 4/14/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthC4583ARKANSASYes

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
1043860MEDICARE OSCAR/CERTIFICATIONARKANSAS
25C697OTHERMEDICARE PTAN

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

NPI Synchronization or Removal

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