METRO SPRINGDALE TREATMENT CENTER, INC
NPI 1104841600
Clinic/Center in Springdale, AR

Active since July 13, 2006
1670 W SUNSET AVE, STE B, SPRINGDALE, AR 72762(479) 725-2555(479) 725-2562 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center

About METRO SPRINGDALE TREATMENT CENTER, INC

This page provides the complete NPI Profile along with additional information for Metro Springdale Treatment Center, Inc, a provider established in Springdale, Arkansas operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104841600 assigned on July 2006. The practitioner's primary taxonomy code is 261Q00000X with license number 0602898 (AR). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Michael E Dickerson (Ceo)

NPI
1104841600 Verify this NPI
Provider Name
METRO SPRINGDALE TREATMENT CENTER, INC
Entity Type
Organization
Location Address
1670 W SUNSET AVE STE B SPRINGDALE, AR 72762
Location Phone
(479) 725-2555
Location Fax
(479) 725-2562
Mailing Address
1670 W SUNSET AVE STE B SPRINGDALE, AR 72762
Mailing Phone
(479) 725-2555
Mailing Fax
(479) 725-2562
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-13-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
0602898
License State
AR
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL E DICKERSON

Authorized Official Title
CEO
Authorized Official Phone
(316) 200-4424

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Podiatrist
1670 W SUNSET AVE, SUITE A
SPRINGDALE, AR 72762
Podiatrist
1670 W SUNSET AVE, SUITE A
SPRINGDALE, AR 72762
Specialist
1670 W SUNSET AVE, STE B
SPRINGDALE, AR 72762
Clinic/Center (Ambulatory Surgical)
1670 W SUNSET AVE, SUITE A
SPRINGDALE, AR 72762

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104841600, enumerated as an "organization" on July 13, 2006.

The provider is located at 1670 W SUNSET AVE STE B SPRINGDALE, AR 72762 and the phone number is (479) 725-2555.

Clinic/Center with taxonomy code 261Q00000X.