RUSSELLVILLE PRIMARY CARE CLINIC, INC.
NPI 1427065556
Clinic/Center in Russellville, AR

Active since August 02, 2006
2524 W MAIN ST, RUSSELLVILLE, AR 72801(479) 967-3980(479) 967-6509 Get Directions Write a Review

NPPES record last updated: May 13, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Russellville Primary Care Clinic, Inc. NPPES

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

RUSSELLVILLE PRIMARY CARE CLINIC, INC. (NPI 1427065556) is a healthcare organization registered as a clinic/center in Russellville, Arkansas and active in the NPI registry since August 2006. The organization lists Monti L Kist, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1427065556
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameRUSSELLVILLE PRIMARY CARE CLINIC, INC.
Location Address2524 W MAIN STRussellville, AR 72801-2533
Mailing AddressPo Box 9010Russellville, AR 72811-9010 · (479) 967-3980 · Fax (479) 967-6509
Fax(479) 967-6509
Organization SubpartNo
Authorized OfficialMonti L KistOwner/president · (479) 967-3980
Enumeration DateAugust 2, 2006
Last NPPES UpdateMay 13, 2010
NPI 1427065556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2524 W MAIN ST, Russellville, AR 72801

Other Identifiers 1

Medicare PIN5F618

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427065556, enumerated as an "organization" on August 02, 2006.

The provider is located at 2524 W MAIN ST RUSSELLVILLE, AR 72801 and the phone number is (479) 967-3980.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.