EAST ARKANSAS CHILDREN'S CLINIC - NPI 1497769921 - Clinic/Center in Forrest City, AR

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

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About East Arkansas Children's Clinic NPPES

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

EAST ARKANSAS CHILDREN'S CLINIC (NPI 1497769921) is a healthcare organization registered as a primary care in Forrest City, Arkansas and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through July 14, 2028 and lists William C. Patton, Owner, as its authorized official.

NPPES Registry Identity

NPI1497769921

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameEAST ARKANSAS CHILDREN'S CLINIC

Location Address901 HOLIDAY DRForrest City, AR 72335-9183

Mailing Address901 Holiday DrForrest City, AR 72335-9183 · (870) 633-0880 · Fax (870) 633-3801

Phone(870) 633-0880

Fax(870) 633-3801

Organization SubpartNo

Authorized OfficialWilliam C. PattonOwner · (870) 633-0880

Enumeration DateJuly 28, 2006

Last NPPES UpdateJanuary 22, 2008

✔ NPI 1497769921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

901 HOLIDAY DR, Forrest City, AR 72335

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Other Identifiers 1

Medicare PIN57630AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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) 04D0467766

East Arkansas Children's Clinic · Forrest City, AR

Active · expires Jul 14, 2028

CLIA Number04D0467766

Laboratory TypePhysician Office

Certificate Effective DateJuly 15, 2026

Certificate Expiration DateJuly 14, 2028

Laboratory DirectorWilliam C. Patton MD

Laboratory Phone(870) 633-0880

Laboratory LocationEast Arkansas Children's Clinic901 Holiday Drive, Forrest City, AR 72335

CLIA data matches this NPI record on: Address Name 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 7

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

CANDACE DANETTE SHAFER- FRANKS M.D.

Pediatrics