PRESCOTT FAMILY CLINIC P A
NPI 1831150747
Clinic/Center in Prescott, AR

Active since March 30, 2006CLIA 04D0465755 · Certificate of Compliance
301 HALE AVE, PRESCOTT, AR 71857(870) 887-6651(870) 887-2008 Get Directions Write a Review

NPPES record last updated: September 9, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prescott Family Clinic P A NPPES

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

PRESCOTT FAMILY CLINIC P A (NPI 1831150747) is a healthcare organization registered as a clinic/center in Prescott, Arkansas and active in the NPI registry since March 2006. The organization holds a CLIA Certificate of Compliance certificate valid through May 27, 2028 and lists Michael Clarence Young, President, as its authorized official.

NPPES Registry Identity

NPI1831150747
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePRESCOTT FAMILY CLINIC P A
Location Address301 HALE AVEPrescott, AR 71857-3330
Mailing Address301 Hale AvePrescott, AR 71857-3330 · (870) 887-6651 · Fax (870) 887-2008
Fax(870) 887-2008
Organization SubpartNo
Authorized OfficialMichael Clarence YoungPresident · (870) 887-6651
Enumeration DateMarch 30, 2006
Last NPPES UpdateSeptember 9, 2013
NPI 1831150747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
301 HALE AVE, Prescott, AR 71857

Other Identifiers 4

Other56900AR · Bcbs
Medicaid1831150747AR
OtherDG5104AR · Gba Railroad
Medicare ID-Type Unspecified56900AR

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 Compliance 04D0465755

Prescott Family Clinic · Prescott, AR
Active · expires May 27, 2028
CLIA Number04D0465755
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorMichael Young
Laboratory Phone(870) 887-6651
Laboratory LocationPrescott Family Clinic301 Hale Ave, Prescott, AR 71857
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

Family Medicine (Geriatric Medicine)
301 HALE AVE
PRESCOTT, AR 71857

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prescott Family Clinic P A's NPI number?

The NPI number for Prescott Family Clinic P A is 1831150747. It was assigned to this organization in the NPPES registry on March 30, 2006.

Where is Prescott Family Clinic P A located?

Prescott Family Clinic P A is located at 301 Hale Ave, Prescott, AR 71857. The listed phone number is (870) 887-6651.

What is Prescott Family Clinic P A's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Prescott Family Clinic P A hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 04D0465755) is associated with this NPI, valid through May 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prescott Family Clinic P A was last updated on September 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.