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COOPER CLINIC PA
NPI 1366655623
Family Medicine in Charleston, AR

Active since May 07, 2007
1801 E MAIN ST, CHARLESTON, AR 72933(479) 274-2000(479) 274-2194 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cooper Clinic Pa NPPES

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

COOPER CLINIC PA (NPI 1366655623) is a healthcare organization registered as a family medicine in Charleston, Arkansas and active in the NPI registry since May 2007. The organization lists Curtis Ralston, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366655623
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOOPER CLINIC PA
Location Address1801 E MAIN STCharleston, AR 72933-9254
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 DateMay 7, 2007
Last NPPES UpdateOctober 20, 2015
✔ NPI 1366655623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · MC-0254
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.
1801 E MAIN ST, Charleston, AR 72933
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Other Identifiers 2

Medicare OSCAR/certification043850AR
Medicaid141318729AR

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JASON D RICHEY MD
Family Medicine
1801 E MAIN ST
CHARLESTON, AR 72933
Franklin County (479) 963-2132
COOPER CLINIC, PA
Clinic/Center
1801 E MAIN ST
CHARLESTON, AR 72933
Franklin County (479) 274-2000

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 1366655623. It was assigned to this organization in the NPPES registry on May 7, 2007.

Where is Cooper Clinic PA located?

Cooper Clinic PA is located at 1801 E Main St, Charleston, AR 72933. 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 October 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.