REDICLINIC
NPI 1114067519
Clinic/Center in Fayetteville, AR

Active since February 07, 2007
3911 NORTH MALL AVENUE, FAYETTEVILLE, AR 72703(866) 706-6334(713) 358-4801 Get Directions Write a Review

NPPES record last updated: January 20, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center

About REDICLINIC

This page provides the complete NPI Profile along with additional information for Rediclinic, a provider established in Fayetteville, Arkansas operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1114067519 assigned on February 2007. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Rediclinic. The authorized official of this NPI record is Mr. Eric Fournet (Cfo)

NPI
1114067519 Verify this NPI
Provider Legal Name
REDICLINIC LLC
Other Organization Name
REDICLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3911 NORTH MALL AVENUE FAYETTEVILLE, AR 72703
Location Phone
(866) 706-6334
Location Fax
(713) 358-4801
Mailing Address
9 GREENWAY PLAZA SUITE 2950 HOUSTON, TX 77046
Mailing Phone
(866) 935-0333
Mailing Fax
(713) 935-9353
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-07-2007
Last Update Date
01-20-2009
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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
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).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. ERIC FOURNET

Authorized Official Title
CFO
Authorized Official Phone
(713) 580-9468

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5F811MEDICARE PIN (08)AR 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114067519, enumerated as an "organization" on February 07, 2007.

The provider is located at 3911 NORTH MALL AVENUE FAYETTEVILLE, AR 72703 and the phone number is (866) 706-6334.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.