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SALEM FAMILY CLINIC
NPI 1376519454
General Practice in Salem, AR

Active since February 27, 2006CLIA 04D2173838 · Certificate of Compliance
507 N MAIN ST, SALEM, AR 72576(870) 895-2541(870) 895-2957 Get Directions Write a Review

NPPES record last updated: December 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Salem Family Clinic NPPES

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

SALEM FAMILY CLINIC (NPI 1376519454) is a healthcare organization registered as a general practice in Salem, Arkansas and active in the NPI registry since February 2006. The organization holds a CLIA Certificate of Compliance certificate valid through May 3, 2027 and lists Michael N Moody, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1376519454
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSALEM FAMILY CLINIC
Location Address507 N MAIN STSalem, AR 72576-9449
Mailing AddressPo Box 829Salem, AR 72576-0829 · (870) 895-2541 · Fax (870) 895-2957
Phone(870) 895-2541
Fax(870) 895-2957
Organization SubpartNo
Authorized OfficialMichael N MoodyMedical Doctor · (870) 895-2541
Enumeration DateFebruary 27, 2006
Last NPPES UpdateDecember 22, 2010
✔ NPI 1376519454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in AR · MC0433
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
507 N MAIN ST, Salem, AR 72576
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Other Identifiers 2

Medicare ID-Type Unspecified56757AR
Medicaid102260002AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Compliance 04D2173838

Salem Family Clinic P A · Salem, AR
Active · expires May 3, 2027
CLIA Number04D2173838
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2025
Certificate Expiration DateMay 3, 2027
Laboratory DirectorDr. Paul D. Kauffman
Laboratory Phone(870) 895-2541
Laboratory LocationSalem Family Clinic P A507 N Main St, Salem, AR 72576
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

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

DR. JIMMY G BOZEMAN M.D.
General Practice
507 N MAIN ST
SALEM, AR 72576
Fulton County (870) 895-2541
MRS. CONNIE F. BRAY CRNA
Nurse Anesthetist, Certified Registered
507 N MAIN ST
SALEM, AR 72576
Fulton County (870) 895-2541
DR. PAUL DAVID KAUFFMAN M.D.
Family Medicine
507 N MAIN ST
SALEM, AR 72576
Fulton County (870) 895-2541

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 Salem Family Clinic's NPI number?

The NPI number for Salem Family Clinic is 1376519454. It was assigned to this organization in the NPPES registry on February 27, 2006.

Where is Salem Family Clinic located?

Salem Family Clinic is located at 507 N Main St, Salem, AR 72576. The listed phone number is (870) 895-2541.

What is Salem Family Clinic's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Salem Family Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 04D2173838) is associated with this NPI, valid through May 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Salem Family Clinic was last updated on December 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.