SOUTHSIDE MEDICAL CLINIC
NPI 1194937235
Internal Medicine in Fort Smith, AR
About Southside Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHSIDE MEDICAL CLINIC (NPI 1194937235) is a healthcare organization registered as an internal medicine in Fort Smith, Arkansas and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through July 25, 2027 and lists Thuylinh Pham, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 04D1071452
Southside Medical Clinic · Fort Smith, AROther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194937235, enumerated as an "organization" on May 03, 2007.
The provider is located at 623 S 21ST ST FORT SMITH, AR 72901 and the phone number is (479) 441-1500.
Internal Medicine with taxonomy code 207R00000X.
