RICH MOUNTIAN FAMILY MEDICAL CLINIC
NPI 1477688554
Clinic/Center - Primary Care in Mena, AR

Active since February 22, 2007CLIA 04D0466061 · Microscopy
209 MORROW ST N, MENA, AR 71953(479) 394-4703(479) 394-2126 Get Directions Write a Review

NPPES record last updated: March 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rich Mountian Family Medical Clinic NPPES

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

RICH MOUNTIAN FAMILY MEDICAL CLINIC (NPI 1477688554) is a healthcare organization registered as a primary care in Mena, Arkansas and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists John Henry Finck, Manager, as its authorized official.

NPPES Registry Identity

NPI1477688554
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameRICH MOUNTIAN FAMILY MEDICAL CLINIC
Location Address209 MORROW ST NMena, AR 71953-2514
Mailing Address209 Morrow St NMena, AR 71953-2514 · (479) 394-4703 · Fax (479) 394-2126
Fax(479) 394-2126
Organization SubpartNo
Authorized OfficialJohn Henry FinckManager · (479) 394-4703
Enumeration DateFebruary 22, 2007
Last NPPES UpdateMarch 14, 2011
NPI 1477688554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in AR · R3577
209 MORROW ST N, Mena, AR 71953

Other Identifiers 1

Other5B290AR · Bcbs

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 04D0466061

Rich Mountain Family Medical Clinic · Mena, AR
Active · expires Aug 31, 2026
CLIA Number04D0466061
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJohn H. Finck
Laboratory Phone(479) 394-4703
Laboratory LocationRich Mountain Family Medical Clinic209 N Morrow St, Mena, AR 71953
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

Family Medicine
209 MORROW ST N
MENA, AR 71953
Dentist
209 MORROW ST N
MENA, AR 71953

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 Rich Mountian Family Medical Clinic's NPI number?

The NPI number for Rich Mountian Family Medical Clinic is 1477688554. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Rich Mountian Family Medical Clinic located?

Rich Mountian Family Medical Clinic is located at 209 Morrow St N, Mena, AR 71953. The listed phone number is (479) 394-4703.

What is Rich Mountian Family Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Rich Mountian Family Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D0466061) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rich Mountian Family Medical Clinic was last updated on March 14, 2011. 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.