Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

CADDO RIVER MEDICAL CLINIC PLLC
NPI 1194644575
Clinic/Center - Primary Care in Glenwood, AR

Active since July 10, 2026
180 HIGHWAY 70 E STE 11, GLENWOOD, AR 71943(870) 828-1151 Get Directions Write a Review

NPPES record added: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Caddo River Medical Clinic Pllc NPPES

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

CADDO RIVER MEDICAL CLINIC PLLC (NPI 1194644575) is a healthcare organization registered as a primary care in Glenwood, Arkansas and active in the NPI registry since July 2026. The organization lists Rickey Edna Mack, Owner, as its authorized official.

NPPES Registry Identity

NPI1194644575
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCADDO RIVER MEDICAL CLINIC PLLC
Location Address180 HIGHWAY 70 E STE 11Glenwood, AR 71943-8810
Mailing Address516 Highway 8 EGlenwood, AR 71943-9222
Organization SubpartNo
Authorized OfficialRickey Edna MackOwner · (870) 828-1151
Enumeration DateJuly 10, 2026
NPPES CertifiedJuly 11, 2026
NPI 1194644575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
180 HIGHWAY 70 E STE 11, Glenwood, AR 71943

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 Caddo River Medical Clinic PLLC's NPI number?

The NPI number for Caddo River Medical Clinic PLLC is 1194644575. It was assigned to this organization in the NPPES registry on July 10, 2026.

Where is Caddo River Medical Clinic PLLC located?

Caddo River Medical Clinic PLLC is located at 180 Highway 70 E Ste 11, Glenwood, AR 71943. The listed phone number is (870) 828-1151.

What is Caddo River Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Caddo River Medical Clinic PLLC was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.