LEACHVILLE PRIMARY CARE CLINIC, INC
NPI 1376531160
Specialist in Leachville, AR

Q: What is Leachville Primary Care Clinic, Inc's NPI number?

The NPI number for Leachville Primary Care Clinic, Inc is 1376531160. It was assigned to this organization in the NPPES registry on October 6, 2005.

Q: What is Leachville Primary Care Clinic, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 06, 2005

111 S MAIN ST, LEACHVILLE, AR 72438(870) 539-1115(870) 539-1125 Get Directions Write a Review

NPPES record last updated: March 8, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Leachville Primary Care Clinic, Inc NPPES

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

LEACHVILLE PRIMARY CARE CLINIC, INC (NPI 1376531160) is a healthcare organization registered as a specialist in Leachville, Arkansas and active in the NPI registry since October 2005. The organization lists John S Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1376531160

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameLEACHVILLE PRIMARY CARE CLINIC, INC

Location Address111 S MAIN STLeachville, AR 72438-0580

Mailing AddressPo Box 580, 111 S Main StLeachville, AR 72438-0580 · (870) 539-1115 · Fax (870) 539-1125

Phone(870) 539-1115

Fax(870) 539-1125

Organization SubpartNo

Authorized OfficialJohn S JohnsonOwner · (870) 539-1115

Enumeration DateOctober 6, 2005

Last NPPES UpdateMarch 8, 2012

✔ NPI 1376531160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AR · C8443

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

111 S MAIN ST, Leachville, AR 72438

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Other Identifiers 1

Medicare ID-Type Unspecified5K184C485AR

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

Other Providers at the Same Location NPPES

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

DOCTORS HEALTH GROUP, INC

Family Medicine

111 S MAIN ST
LEACHVILLE, AR 72438

Mississippi County (870) 539-1115

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 Leachville Primary Care Clinic, Inc's NPI number?

The NPI number for Leachville Primary Care Clinic, Inc is 1376531160. It was assigned to this organization in the NPPES registry on October 6, 2005.

Where is Leachville Primary Care Clinic, Inc located?

Leachville Primary Care Clinic, Inc is located at 111 S Main St, Leachville, AR 72438. The listed phone number is (870) 539-1115.

What is Leachville Primary Care Clinic, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Leachville Primary Care Clinic, Inc was last updated on March 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.