SJC-BERRYVILLE FAMILY PRACTICE
NPI 1447323399
Family Medicine in Berryville, AR

Active since November 16, 2006
613 ORCHARD DR, BERRYVILLE, AR 72616(870) 423-7171(870) 423-1032 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sjc-berryville Family Practice NPPES

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

SJC-BERRYVILLE FAMILY PRACTICE (NPI 1447323399) is a healthcare organization registered as a family medicine in Berryville, Arkansas and active in the NPI registry since November 2006. The organization lists Vickie Jenkins, Provider Enrollment Coordinator, as its authorized official.

NPPES Registry Identity

NPI1447323399
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST JOHNS CLINIC INC
Location Address613 ORCHARD DRBerryville, AR 72616-5013
Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620 · Fax (417) 829-4316
Fax(870) 423-1032
Organization SubpartNo
Authorized OfficialVickie JenkinsProvider Enrollment Coordinator · (417) 829-4264
Enumeration DateNovember 16, 2006
Last NPPES UpdateJune 27, 2008
NPI 1447323399 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 · C4889
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.
613 ORCHARD DR, Berryville, AR 72616

Other Names 1

Doing Business AsSjc-berryville Family Practice

Other Identifiers 3

Medicare ID-Type Unspecified5C895AR · Ar Medicare Group #
Medicaid150959002AR
OtherCR0464AR · Travelers/rr Medicare #

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 3

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

Otolaryngology
613 ORCHARD DR
BERRYVILLE, AR 72616
Internal Medicine (Endocrinology, Diabetes & Metabolism)
613 ORCHARD DR
BERRYVILLE, AR 72616
Advanced Practice Midwife
613 ORCHARD DR
BERRYVILLE, AR 72616

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 St Johns Clinic Inc's NPI number?

The NPI number for St Johns Clinic Inc is 1447323399. It was assigned to this organization in the NPPES registry on November 16, 2006. The provider is doing business as Sjc-Berryville Family Practice.

Where is St Johns Clinic Inc located?

St Johns Clinic Inc is located at 613 Orchard Dr, Berryville, AR 72616. The listed phone number is (870) 423-7171.

What is St Johns Clinic Inc'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 St Johns Clinic Inc was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.