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WILSON INTERVENTIONAL CLINIC PA
NPI 1467547141
Radiology - Vascular & Interventional Radiology in Mountain Home, AR

Active since October 04, 2006
628 HOSPITAL DR STE 3D, MOUNTAIN HOME, AR 72653(870) 425-3737(870) 425-3742 Get Directions Write a Review

NPPES record last updated: August 27, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wilson Interventional Clinic Pa NPPES

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

WILSON INTERVENTIONAL CLINIC PA (NPI 1467547141) is a healthcare organization registered as a vascular & interventional radiology in Mountain Home, Arkansas and active in the NPI registry since October 2006. The organization lists Matthew B Wilson, President, as its authorized official.

NPPES Registry Identity

NPI1467547141
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameWILSON INTERVENTIONAL CLINIC PA
Location Address628 HOSPITAL DR STE 3DMountain Home, AR 72653-2952
Mailing AddressPo Box 2008Mountain Home, AR 72654-2008 · (870) 425-3737 · Fax (870) 425-3742
Phone(870) 425-3737
Fax(870) 425-3742
Organization SubpartNo
Authorized OfficialMatthew B WilsonPresident · (870) 425-3737
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 27, 2010
✔ NPI 1467547141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in AR · N-8297
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
628 HOSPITAL DR STE 3D, Mountain Home, AR 72653
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Other Identifiers 2

Medicaid149277002AR
Medicare PIN5C771AR

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

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 Wilson Interventional Clinic PA's NPI number?

The NPI number for Wilson Interventional Clinic PA is 1467547141. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Wilson Interventional Clinic PA located?

Wilson Interventional Clinic PA is located at 628 Hospital Dr Ste 3D, Mountain Home, AR 72653. The listed phone number is (870) 425-3737.

What is Wilson Interventional Clinic PA's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Wilson Interventional Clinic PA was last updated on August 27, 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.