MCCRORY FAMILY CLINIC PA (NPI# 1972613743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972613743 |
| Entity Type | Organization |
| Organization Name | MCCRORY FAMILY CLINIC PA |
| Practice Address |
908 N Edmonds Ave Mccrory AR 72101 |
| Mailing Address |
Po Box 780 Mccrory AR 72101 |
| Practice Telephone | 8707311100 |
| Practice Fax Number | 8707311019 |
| Mailing Telephone | 8707311100 |
| Mailing Fax Number | 8707311019 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | FRED E WILSON (MD) |
| Authorized Official Telephone | 8707311100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
MC-1803 | AR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | RAILROAD MEDICARE | CI5031 | 01 |
| AR | 134056002 | 05 | |
| AR | 134474729 | 05 |
| Street Address |
908 N EDMONDS AVE |
| City | MCCRORY |
| State | AR |
| Zip Code | 72101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255989588 | Amanda Marie Austin | Registered Nurse | 801 North Edmonds, 801 North Edmonds, Mccrory, AR 72101 | 2019-08-29 |
| 1225339682 | Marty J Lute | Pharmacist | 306 East 3rd Street, Mccrory, AR 72101 | 2010-11-16 |
| 1316155815 | Lane Eye Care Center, P.a. | Optometrist | 119 E Second St, Mccrory, AR 72101 | 2007-05-18 |
| 1124179932 | Mccrory School District | Local Education Agency (LEA) | 509 North Jackson, Mccrory, AR 72101 | 2007-01-16 |
| 1962415232 | Woodruff County Ambulance Service | Ambulance | 106 North Edmonds Ave, Mccrory, AR 72101 | 2006-08-15 |
| 1407812803 | Rita K Allbright | Family Medicine | 801 N Edmond, Mccrory, AR 72101 | 2006-04-25 |
| 1073595625 | Intrepid of The Ozarks, Inc. | Home Health | 109 9th Street, Bldg 1, Mccrory, AR 72101-0365 | 2005-11-18 |
| 1023024817 | Best Drug Store Inc | Pharmacist | 906 N Edmonds, Mccrory, AR 72101-0368 | 2006-07-31 |
| 1265530984 | Fred Eugene Wilson | Clinic/Center | 908 North Edmonds, Mc Crory, AR 72101-0780 | 2006-09-20 |
| 1801857503 | Arcare | Clinic/Center | 801 N Edmonds, Mccrory, AR 72101-0807 | 2006-03-31 |
| Find all providers in zip 72101 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634738 | Mississippi County Hospital System | Clinic/Center | 1521 N 10th St Ste G, Blytheville, AR 72315-1424 | 2020-09-18 |
| 1962015859 | Lansdell Family Clinic Pllc | Clinic/Center | 1124 Main Ave, Dierks, AR 71833-9421 | 2020-08-28 |
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1710465190 | Arcare | Clinic/Center | 3150 E. Heritage Parkway, Farmington, AR 72753 | 2018-07-30 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1316443807 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 1306 North Lincoln Avenue, Star City, AR 71667 | 2018-04-03 |
| 1124539648 | Access Medical Clinic Arkansas LLC | Clinic/Center | 1016 North Fourche Avenue, Perryville, AR 72126 | 2017-10-24 |
| 1174044697 | Bradley County Medical Center Rural Health Clinic | Clinic/Center | 304 East Central, Warren, AR 71671-0000 | 2017-07-06 |
| 1144755570 | Access Medical Clinic Arkansas LLC | Clinic/Center | 16723 Hwy 62, Garfield, AR 72732 | 2017-04-24 |
| 1568904480 | Bradley Bibb, Md Pllc | Clinic/Center | 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 | 2016-11-09 |
| Find all providers with the same taxonomy | ||||
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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.