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LITTLE RIVER MEDICAL CENTER INC. NPI 1962719856


NPI Information

NPI: 1962719856
Provider Name: LITTLE RIVER MEDICAL CENTER, INC.

Doing Business As: MEMORIAL MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 04D2158098

Address:
450 W LOCKE ST
SUITE C
ASHDOWN, AR
ZIP 71822
Phone: (870) 898-4100
Get Directions

LITTLE RIVER MEDICAL CENTER, INC. is a family medicine in Ashdown, 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. LITTLE RIVER MEDICAL CENTER, INC. NPI is 1962719856. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Memorial Medical Clinic.

The provider's business location address is:

450 W LOCKE ST
SUITE C
ASHDOWN, AR
ZIP 71822-326
Phone: (870) 898-4100
Fax: (870) 898-5791

The provider's authorized official is Vicki Ann Keener .
The authorized official title is Adm. Assistant and has the following contact phone number (870) 898-5011.

The CLIA number assigned to this NPI record is 04D2158098 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2010 and was last updated on 7/26/2017.


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
1191446002MEDICAIDARKANSAS
25G384OTHERARKANSASBCS
305G790MEDICARE OSCAR/CERTIFICATIONARKANSAS

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: 11/14/2023

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