FAMILY CARE CLINIC OF RECTOR (PIGGOTT COMMUNITY HOSPITAL) NPI 1679564413

Clinic/Center (Rural Health) in Rector, AR

NPI 1679564413 Organization Clinic/Center Rural Health CLIA Number 04D0897814 CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP)

About FAMILY CARE CLINIC OF RECTOR (PIGGOTT COMMUNITY HOSPITAL)

Family Care Clinic Of Rector (piggott Community Hospital) is a primary care provider established in Rector, Arkansas specializing in clinic/center (rural health) . The NPI number of Family Care Clinic Of Rector (piggott Community Hospital) is 1679564413 and was assigned on November 2005. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Family Care Clinic Of Rector. The authorized official of this NPI record is Mr. James L Magee (Executive Director)

A primary care provider (PCP) like Family Care Clinic Of Rector sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

The CLIA number of Family Care Clinic Of Rector is 04D0897814 registered as a "rural health clinic" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued to Family Care Clinic Of Rector in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

NPI

1679564413

Provider NameFAMILY CARE CLINIC OF RECTOR (PIGGOTT COMMUNITY HOSPITAL)
Provider Location Address715 E 9TH ST RECTOR, AR 72461
Provider Mailing Address715 E 9TH ST RECTOR, AR 72461
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameFAMILY CARE CLINIC OF RECTOR
Other Name TypeDoing Business As (3)
Enumeration Date11-01-2005
Last Update Date05-12-2008


Primary Taxonomy

Taxonomy Code261QR1300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRural Health
License StateAR

Business Address

FAMILY CARE CLINIC OF RECTOR
715 E 9TH ST
RECTOR, AR
ZIP 72461
Phone: (870) 595-3596
Fax: (870) 595-3598

Get Directions


Mailing Address

FAMILY CARE CLINIC OF RECTOR
715 E 9TH ST
RECTOR, AR
ZIP 72461
Phone: (870) 595-3596
Fax: (870) 595-3598



Authorized Official

Authorized Official NameMR. JAMES L MAGEE
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(870) 598-3881

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1679564413 is:

CLIA Number04D0897814
Facility TypeRURAL HEALTH CLINIC
Certificate TypeCertificate for Provider-Performed Microscopy Procedures (PPMP)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
595941501MEDICAID (05)MO
043448MEDICARE OSCAR/CERTIFICATION (06)AR
146636729MEDICAID (05)AR

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265884910 DAVID BRANDON BLOUNT APRN
Individual
Nurse Practitioner (Family)715 E 9TH ST
RECTOR, AR 72461
(870) 595-3596
1164976684PIGGOTT COMMUNITY HOSPITAL
Organization
General Acute Care Hospital (Critical Access)715 E 9TH ST
RECTOR, AR 72461
(870) 595-3596
1295239408 DAVID BLACKBURN MD
Individual
Family Medicine715 E 9TH ST
RECTOR, AR 72461
(870) 595-3596

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.