REDICLINIC
NPI 1114067519
Clinic/Center in Fayetteville, AR

Q: What is Rediclinic LLC's NPI number?

The NPI number for Rediclinic LLC is 1114067519. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is doing business as Rediclinic.

Q: What is Rediclinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Rediclinic LLC was last updated on January 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 09, 2026.

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About Rediclinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REDICLINIC (NPI 1114067519) is a healthcare organization registered as a clinic/center in Fayetteville, Arkansas and active in the NPI registry since February 2007. The organization lists Eric Fournet, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114067519

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameREDICLINIC LLC

Location Address3911 NORTH MALL AVENUEFayetteville, AR 72703

Mailing Address9 Greenway Plaza, Suite 2950Houston, TX 77046-0905 · (866) 935-0333 · Fax (713) 935-9353

Phone(866) 706-6334

Fax(713) 358-4801

Organization SubpartNo

Authorized OfficialEric FournetCfo · (713) 580-9468

Enumeration DateFebruary 7, 2007

Last NPPES UpdateJanuary 20, 2009

✔ NPI 1114067519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

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).

3911 NORTH MALL AVENUE, Fayetteville, AR 72703

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Other Names 1

Doing Business AsRediclinic

Other Identifiers 1

Medicare PIN5F811AR

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rediclinic LLC's NPI number?

The NPI number for Rediclinic LLC is 1114067519. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is doing business as Rediclinic.

Where is Rediclinic LLC located?

Rediclinic LLC is located at 3911 North Mall Avenue, Fayetteville, AR 72703. The listed phone number is (866) 706-6334.

What is Rediclinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Rediclinic LLC was last updated on January 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.