MARSHALL FAMILY PRACTICE (NORTH ARKANSAS REGIONAL MEDICAL CENTER) NPI 1417948290

Clinic/Center (Rural Health) in Marshall, AR

NPI 1417948290 Organization Clinic/Center Rural Health CLIA Number 04D0704345 CLIA Certificate of Compliance

About MARSHALL FAMILY PRACTICE (NORTH ARKANSAS REGIONAL MEDICAL CENTER)

Marshall Family Practice (north Arkansas Regional Medical Center) is a primary care provider established in Marshall, Arkansas specializing in clinic/center (rural health) . The NPI number of Marshall Family Practice (north Arkansas Regional Medical Center) is 1417948290 and was assigned on November 2005. The practitioner's primary taxonomy code is 261QR1300X with license number AR3203 (AR). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Marshall Family Practice. The authorized official of this NPI record is Mrs. Deana Thomas (Vp Finance / Cfo)

A primary care provider (PCP) like Marshall Family Practice sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

The CLIA number of Marshall Family Practice is 04D0704345 registered as a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to Marshall Family Practice after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

NPI

1417948290

Provider NameMARSHALL FAMILY PRACTICE (NORTH ARKANSAS REGIONAL MEDICAL CENTER)
Provider Location Address211 AIRPORT ROAD MARSHALL, AR 72650
Provider Mailing AddressPO BOX 1266 MARSHALL, AR 72650
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameMARSHALL FAMILY PRACTICE
Other Name TypeDoing Business As (3)
Enumeration Date11-02-2005
Last Update Date07-15-2016


Primary Taxonomy

Taxonomy Code261QR1300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRural Health
License No.AR3203
License StateAR

Business Address

MARSHALL FAMILY PRACTICE
211 AIRPORT ROAD
MARSHALL, AR
ZIP 72650
Phone: (870) 448-3328

Get Directions


Mailing Address

MARSHALL FAMILY PRACTICE
PO BOX 1266
MARSHALL, AR
ZIP 72650
Phone: (870) 448-3328



Authorized Official

Authorized Official NameMRS. DEANA THOMAS
Authorized Official TitleVP FINANCE / CFO
Authorized Official Phone(870) 414-5157

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1417948290 is:

CLIA Number04D0704345
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Compliance

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
5B481OTHER (01)AR
043414MEDICARE ID-TYPE UNSPECIFIED (04)AR
131315729MEDICAID (05)AR

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235371758 JERRAD C REESE ANP FNP-BC
Individual
Nurse Practitioner (Family)211 AIRPORT ROAD
MARSHALL, AR 72650
(870) 448-3327

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.