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MCCLINTOCK FAMILY MEDICINE NPI 1952540387


NPI Information

NPI: 1952540387
Provider Name: MCCLINTOCK FAMILY MEDICINE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 04D0468385

Address:
306 N CHESTNUT ST
HARRISON, AR
ZIP 72601
Phone: (870) 741-8559
Get Directions

MCCLINTOCK FAMILY MEDICINE is a family medicine in Harrison, 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. MCCLINTOCK FAMILY MEDICINE NPI is 1952540387. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

306 N CHESTNUT ST
HARRISON, AR
ZIP 72601-453
Phone: (870) 741-8559
Fax: (870) 741-8423

The provider's authorized official is Jacob Nelson Mcclintock .
The authorized official title is Owner and has the following contact phone number (870) 741-8559.

The CLIA number assigned to this NPI record is 04D0468385 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/9/2009 and was last updated on 10/18/2023.


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
1207Q00000XFamily MedicineYes

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
1178239002MEDICAIDARKANSAS

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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