SPOT LLC NPI 1023781416

Clinic/Center (Hearing and Speech) in Clarendon, AR

NPI 1023781416 Organization Clinic/Center Hearing and Speech

About SPOT LLC

Spot Llc is a provider established in Clarendon, Arkansas specializing in clinic/center (hearing and speech) . The NPI number of Spot Llc is 1023781416 and was assigned on July 2021. The practitioner's primary taxonomy code is 261QH0700X. The provider is registered as an organization and their NPI record was last updated July 2021. The authorized official of this NPI record is Collyn George Ms, Ccc-slp (Owner)

NPI

1023781416

Provider NameSPOT LLC
Provider Location Address4264 HIGHWAY 86 CLARENDON, AR 72029
Provider Mailing Address4264 HIGHWAY 86 CLARENDON, AR 72029
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-30-2021
Last Update Date07-30-2021


Primary Taxonomy

Taxonomy Code261QH0700X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationHearing and Speech
Taxonomy DescriptionAn entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.

Business Address

SPOT LLC
4264 HIGHWAY 86
CLARENDON, AR
ZIP 72029
Phone: (870) 674-7204

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Mailing Address

SPOT LLC
4264 HIGHWAY 86
CLARENDON, AR
ZIP 72029
Phone: (870) 674-7204



Authorized Official

Authorized Official Name COLLYN GEORGE MS, CCC-SLP
Authorized Official TitleOWNER
Authorized Official Phone(870) 674-7204

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.