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1ST CHOICE HEALTHCARE INC NPI 1962824672


NPI Information

NPI: 1962824672
Provider Name: 1ST CHOICE HEALTHCARE INC

Doing Business As: 1ST CHOICE HEALTHCARE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 04D2073009

Address:
308 HIGHWAY 62 W
ASH FLAT, AR
ZIP 72513
Phone: (870) 994-2202
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1ST CHOICE HEALTHCARE INC is a federally qualified health center (fqhc) clinic center in Ash Flat, AR. 1ST CHOICE HEALTHCARE INC NPI is 1962824672. The provider is registered as an organization entity type.
The provider Is Doing Business As 1st Choice Healthcare.

The provider's business location address is:

308 HIGHWAY 62 W
ASH FLAT, AR
ZIP 72513-415
Phone: (870) 994-2202
Fax: (870) 994-2328

The provider's authorized official is Debra Finley .
The authorized official title is Chief Operating Officer and has the following contact phone number (870) 857-3334.

The CLIA number assigned to this NPI record is 04D2073009 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/15/2014 and was last updated on 6/29/2015.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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
1041895MEDICARE OSCAR/CERTIFICATIONARKANSAS
2205760749MEDICAIDARKANSAS

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

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.