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COOPER CLINIC PA
NPI 1245633692
Family Medicine in Booneville, AR

Active since September 30, 2014
690 N KENNEDY AVE RM 1, BOONEVILLE, AR 72927(479) 274-2000(479) 274-2194 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cooper Clinic Pa NPPES

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

COOPER CLINIC PA (NPI 1245633692) is a healthcare organization registered as a family medicine in Booneville, Arkansas and active in the NPI registry since September 2014. The organization lists Curtis Ralston, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245633692
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOOPER CLINIC PA
Location Address690 N KENNEDY AVE RM 1Booneville, AR 72927-3240
Mailing AddressPo Box 3528Fort Smith, AR 72913-3528 · (479) 274-2000 · Fax (479) 274-2194
Phone(479) 274-2000
Fax(479) 274-2194
Organization SubpartNo
Authorized OfficialCurtis RalstonCeo · (479) 274-2000
Enumeration DateSeptember 30, 2014
Last NPPES UpdateSeptember 1, 2015
✔ NPI 1245633692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
690 N KENNEDY AVE RM 1, Booneville, AR 72927
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Cooper Clinic PA's NPI number?

The NPI number for Cooper Clinic PA is 1245633692. It was assigned to this organization in the NPPES registry on September 30, 2014.

Where is Cooper Clinic PA located?

Cooper Clinic PA is located at 690 N Kennedy Ave Rm 1, Booneville, AR 72927. The listed phone number is (479) 274-2000.

What is Cooper Clinic PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Cooper Clinic PA was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.