LEE COUNTY COOPERATIVE CLINIC NPI 1700034998

Clinic/Center (Dental) in Marianna, AR

NPI 1700034998 Organization Clinic/Center Dental

About LEE COUNTY COOPERATIVE CLINIC

Lee County Cooperative Clinic is a provider established in Marianna, Arkansas specializing in clinic/center (dental) . The NPI number of Lee County Cooperative Clinic is 1700034998 and was assigned on September 2008. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Ossie M M Hall (Billing Clerk)

NPI

1700034998

Provider NameLEE COUNTY COOPERATIVE CLINIC
Provider Location Address530 ATKINS BLVD MARIANNA, AR 72360
Provider Mailing AddressPO BOX 669 MARIANNA, AR 72360
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-03-2008
Last Update Date03-02-2021


Primary Taxonomy

Taxonomy Code261QD0000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationDental

Business Address

LEE COUNTY COOPERATIVE CLINIC
530 ATKINS BLVD
MARIANNA, AR
ZIP 72360
Phone: (870) 295-5225

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Mailing Address

LEE COUNTY COOPERATIVE CLINIC
PO BOX 669
MARIANNA, AR
ZIP 72360
Phone: (870) 295-5225



Authorized Official

Authorized Official Name OSSIE M M HALL
Authorized Official TitleBILLING CLERK
Authorized Official Phone(870) 295-5225

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346430980DR. LINDA F COLLINS M.D.
Individual
Family Medicine530 ATKINS BLVD
MARIANNA, AR 72360
(870) 295-5225
1235465303 YEE L YANG DMD
Individual
Dentist530 ATKINS BLVD
MARIANNA, AR 72360
(870) 295-5225
1174981104 MARLO S. WILLIAMS
Individual
Nurse Practitioner (Family)530 ATKINS BLVD
MARIANNA, AR 72360
(870) 295-5225
1245491380DR. HARRY ANDRE MICHEL M.D.
Individual
Family Medicine530 ATKINS BLVD
MARIANNA, AR 72360
(870) 295-5225
1134257967 JACQUOLYN JO EARLY APRN
Individual
Nurse Practitioner (Family)530 ATKINS BLVD
MARIANNA, AR 72360
(870) 295-5225
1447863147MS. BRITTANY MITCHELL DDS
Individual
Dentist530 ATKINS BLVD
MARIANNA, AR 72360
(501) 295-5225
1033765490 KEISHA A. FOX
Individual
Nurse Practitioner (Family)530 ATKINS BLVD
MARIANNA, AR 72360
(870) 295-5225
1851433858LEE COUNTY COOPERATIVE CLINIC
Organization
Pharmacy (Community/Retail Pharmacy)530 ATKINS BLVD
MARIANNA, AR 72360
(870) 295-5225
1558767178MRS. VANESSA JEFFERSON
Individual
Nurse Practitioner (Family)530 ATKINS BLVD
MARIANNA, AR 72360
(870) 295-5225

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.