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ITI CHITO ENTERPRISES INC NPI 1912679549


NPI Information

NPI: 1912679549
Provider Name: ITI CHITO ENTERPRISES INC

Doing Business As: LOCKESBURG FAMILY CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
500 E COLLIN RAYE DR STE 2
DE QUEEN, AR
ZIP 71832
Phone: (870) 642-7257
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ITI CHITO ENTERPRISES INC is a primary care clinic center in De Queen, AR. ITI CHITO ENTERPRISES INC NPI is 1912679549. The provider is registered as an organization entity type.
The provider Is Doing Business As Lockesburg Family Clinic.

The provider's business location address is:

500 E COLLIN RAYE DR STE 2
DE QUEEN, AR
ZIP 71832-068
Phone: (870) 642-7257
Fax: (870) 642-5015

The provider's authorized official is Rusty Lynn Griffin .
The authorized official title is Owner and has the following contact phone number (501) 765-0275.

The enumeration date for this NPI number is 10/1/2021 and was last updated on 4/1/2022.


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
1261QU0200XClinic/CenterUrgent CareNo
2261QP2300XClinic/CenterPrimary CareYes

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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