HILLCREST FAMILY CLINIC - NPI 1669530606 - Family Medicine in Little Rock, AR

Q: What is Hillcrest Family Practice Clinic Inc's NPI number?

The NPI number for Hillcrest Family Practice Clinic Inc is 1669530606. It was assigned to this organization in the NPPES registry on December 4, 2006. The provider is also known as Hillcrest Family Clinic.

Q: What is Hillcrest Family Practice Clinic Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Hillcrest Family Clinic NPPES

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

HILLCREST FAMILY CLINIC (NPI 1669530606) is a healthcare organization registered as a family medicine in Little Rock, Arkansas and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through March 24, 2028 and lists Jay D Holland, President, as its authorized official.

NPPES Registry Identity

NPI1669530606

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameHILLCREST FAMILY PRACTICE CLINIC INC

Location Address4601 WOODLAWN DRLittle Rock, AR 72205-3860

Mailing Address4601 Woodlawn DrLittle Rock, AR 72205-3860 · (501) 664-0769 · Fax (501) 664-9558

Phone(501) 664-0769

Fax(501) 664-9558

Organization SubpartNo

Authorized OfficialJay D HollandPresident · (501) 664-0769

Enumeration DateDecember 4, 2006

Last NPPES UpdateAugust 21, 2009

✔ NPI 1669530606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

4601 WOODLAWN DR, Little Rock, AR 72205

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Other Names 1

Other NameHillcrest Family Clinic

Other Identifiers 2

Medicare PIN5C188AR

Medicare NSC6045370001AR

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

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 of Waiver 04D0467316

Hillcrest Family Clinic · Little Rock, AR

Active · expires Mar 24, 2028

CLIA Number04D0467316

Laboratory TypePhysician Office

Certificate Effective DateMarch 25, 2026

Certificate Expiration DateMarch 24, 2028

Laboratory DirectorRonald Ward

Laboratory Phone(501) 664-0769

Laboratory LocationHillcrest Family Clinic4601 Woodlawn Drive, Little Rock, AR 72205

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

SAMMOH PLLC

Internal Medicine