LEE COUNTY COOPERATIVE CLINIC
NPI 1700034998
Clinic/Center - Dental in Marianna, AR
Active since September 03, 2008
About Lee County Cooperative Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEE COUNTY COOPERATIVE CLINIC (NPI 1700034998) is a healthcare organization registered as a dental in Marianna, Arkansas and active in the NPI registry since September 2008. The organization lists Ossie M M Hall, Billing Clerk, as its authorized official.
NPPES Registry Identity
NPI1700034998
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLEE COUNTY COOPERATIVE CLINIC
Location Address530 ATKINS BLVDMarianna, AR 72360-2113
Mailing AddressPo Box 669Marianna, AR 72360-0669 · (870) 295-5225
Phone(870) 295-5225
Organization SubpartNo
Authorized OfficialOssie M M HallBilling Clerk · (870) 295-5225
Enumeration DateSeptember 3, 2008
Last NPPES UpdateMarch 2, 2021
NPPES CertifiedMarch 2, 2021
✔ NPI 1700034998 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
530 ATKINS BLVD, Marianna, AR 72360
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Pharmacy (Community/Retail Pharmacy)
530 ATKINS BLVD
MARIANNA, AR 72360
MARIANNA, AR 72360
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700034998, enumerated as an "organization" on September 03, 2008.
The provider is located at 530 ATKINS BLVD MARIANNA, AR 72360 and the phone number is (870) 295-5225.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.