FAMILY PRACTICE CENTER (NPI# 1013108240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013108240 |
| Entity Type | Organization |
| Organization Name | FAMILY PRACTICE CENTER |
| Practice Address |
194 Shakerag Road Clinton AR 72031 |
| Mailing Address |
Po Box 1100 Clinton AR 72031-1100 |
| Practice Telephone | 5017452800 |
| Practice Fax Number | 5017458864 |
| Mailing Telephone | 5017452800 |
| Mailing Fax Number | 5017458864 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2011-09-23 |
| Authorized Official Name | MRS. BRENDA LYNN SMITH (OFFICE MANAGER) |
| Authorized Official Telephone | 5017452800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
N6056 | AR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 106212001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598135220 | Family Practice Center | Clinic/Center | 217 Dothan Rd, Abbeville, AL 36310-2836 | 2015-10-07 |
| 1326428806 | Family Practice Center | Family Medicine | 452 Central Ave, Jersey City, NJ 07307-2770 | 2015-06-01 |
| 1710372313 | Family Practice Center | General Practice | 937a Sw 87th Ave, Miami, FL 33174-3206 | 2015-03-31 |
| 1962806141 | Family Practice Center | Nurse Practitioner | 34445 King Street Row, Lewes, DE 19958-4787 | 2014-10-16 |
| 1841246949 | Family Practice Center | Clinic/Center | 1 Penn Plz, Lower Level, New Brunswick, NJ 08901-2162 | 2006-05-26 |
| 1518946953 | Family Practice Center | Family Medicine | 610 8th St Se, Cedar Rapids, IA 52401-2143 | 2006-01-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY PRACTICE CENTER | 1600 Providence Dr, Waco, TX 76707-2261 |
| Street Address |
194 SHAKERAG ROAD |
| City | CLINTON |
| State | AR |
| Zip Code | 72031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857909 | Marinda Renee Bryan | Pharmacist | 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 | 2020-10-07 |
| 1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
| 1992352637 | Peggy Michelle Mann | Occupational Therapy Assistant | 765 Yellow Jacket Lane, Clinton, AR 72031 | 2019-08-19 |
| 1225518475 | Rebecca Sangi | Counselor | 244 U.S. 65, Suite 6, Clinton, AR 72031 | 2018-08-17 |
| 1437668175 | Caitlin Abiseid Shull | Nurse Practitioner | 194 Shake Rag Rd, Clinton, AR 72031 | 2017-09-26 |
| 1386048890 | Jones Family Pharmacy Inc. | Pharmacy | 1930 Hwy 65 South, Clinton, AR 72031 | 2014-10-13 |
| 1275846784 | Timeless Family Chiropractic, LLC | Chiropractor | 116 Maxwell St., Clinton, AR 72031 | 2010-07-26 |
| 1417189481 | Karen Thomas | Case Manager/Care Coordinator | 1303 Hwy 65, Suite 3, Clinton, AR 72031 | 2009-08-10 |
| 1962637082 | Conway County Community Service Inc | Community/Behavioral Health | Hwy 65, Rt. 6, Box 243, Clinton, AR 72031 | 2009-05-19 |
| 1699910596 | Dorthy D Hill | Behavioral Analyst | 1681 Hwy 65 S, Clinton, AR 72031 | 2008-12-05 |
| Find all providers in zip 72031 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390498 | Team Clinic Management Partners LLC | Clinic/Center | 1903 Opal Ave, Clinton, OK 73601-5139 | 2019-08-06 |
| 1982257812 | Team Clinic Management Partners LLC | Clinic/Center | 1001 Orient Ave, Clinton, OK 73601-2751 | 2019-07-19 |
| 1780102301 | Communtiy Healthcare of Western Kentucky LLC | Clinic/Center | 308 South Washington Street Suite 200, Clinton, KY 42031 | 2017-09-04 |
| 1023414828 | Still I Rise, Inc | Clinic/Center | 9023 Woodyard Rd, Clinton, MD 20735-4208 | 2014-11-06 |
| 1417146952 | Clinton Family Practice, Inc. | Clinic/Center | 201 Jacobs Hwy, Clinton, SC 29325-7278 | 2007-10-22 |
| 1184674392 | Westview Health Clinic, Plc | Clinic/Center | 3140 Hayes Ave, Clinton, OK 73601-3601 | 2006-05-10 |
| 1841845948 | Team Clinic Management Partners LLC | Clinic/Center | 300 S 11th St, Clinton, OK 73601-3933 | 2019-08-06 |
| 1891348736 | Team Clinic Management Partners LLC | Clinic/Center | 2130 W Gary Blvd, Clinton, OK 73601-5304 | 2019-07-19 |
| 1407409642 | Team Clinic Management Partners | Clinic/Center | 601 N 13th St, Clinton, OK 73601-1831 | 2019-07-17 |
| 1295285906 | White County Medical Center | Clinic/Center | 175 Volunteer Pkwy, Clinton, AR 72031-8001 | 2016-10-05 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.