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DERMOTT FAMILY PRACTICE INC. NPI 1992979181


NPI Information

NPI: 1992979181
Provider Name: DERMOTT FAMILY PRACTICE, INC.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
105 N FREEMAN ST
DERMOTT, AR
ZIP 71638
Phone: (870) 538-3800
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DERMOTT FAMILY PRACTICE, INC. is a general practice in Dermott, AR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DERMOTT FAMILY PRACTICE, INC. NPI is 1992979181. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 N FREEMAN ST
DERMOTT, AR
ZIP 71638-304
Phone: (870) 538-3800

The provider's authorized official is Carolyn E. Vogler .
The authorized official title is President and has the following contact phone number (870) 538-3800.

The enumeration date for this NPI number is 4/17/2008 and was last updated on 4/17/2008.


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
1208D00000XGeneral PracticeE-3872ARKANSASYes

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
1154472001MEDICAIDARKANSAS
25M955MEDICARE PINARKANSAS
3IO8452MEDICARE UPINARKANSAS

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

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.