FOWLER FAMILY CENTER FOR CANCER CARE
NPI 1912328428
Clinic/Center - Oncology in Jonesboro, AR

Q: What is Northeast Arkansas Clinic Charitable Foundation, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oncology, with taxonomy code 261QX0200X.

Active since December 31, 2013

4808 E JOHNSON AVE, JONESBORO, AR 72401(870) 936-8000(870) 932-3608 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fowler Family Center For Cancer Care NPPES

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

FOWLER FAMILY CENTER FOR CANCER CARE (NPI 1912328428) is a healthcare organization registered as an oncology in Jonesboro, Arkansas and active in the NPI registry since December 2013. The organization lists Gregory M. Duckett, Sr. Vp / Corporate Secretary, as its authorized official.

NPPES Registry Identity

NPI1912328428

Entity TypeOrganization

Primary Taxonomy261QX0200X

Legal Business NameNORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.

Location Address4808 E JOHNSON AVEJonesboro, AR 72401-8413

Mailing AddressPo Box 1960Jonesboro, AR 72403-1960 · (870) 336-1485 · Fax (870) 336-1484

Phone(870) 936-8000

Fax(870) 932-3608

Organization SubpartNo

Authorized OfficialGregory M. DuckettSr. Vp / Corporate Secretary · (901) 227-5233

Enumeration DateDecember 31, 2013

Last NPPES UpdateSeptember 29, 2020

NPPES CertifiedSeptember 29, 2020

✔ NPI 1912328428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · OncologyAmbulatory Health Care Facilities

Taxonomy Code261QX0200X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.

4808 E JOHNSON AVE, Jonesboro, AR 72401

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Other Names 1

Doing Business AsFowler Family Center For Cancer Care

Other Identifiers 2

Medicaid184473002AR

Other5G237AR · Bcbs

Other Providers at the Same Location NPPES 2

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

DR. SCOTT A. DORROH MD

Internal Medicine (Hematology & Oncology)

4808 E JOHNSON AVE, HEM/ONC DEPT.
JONESBORO, AR 72401

Craighead County (870) 936-7000

RONALD J BLACHLY M.D.

Internal Medicine (Hematology & Oncology)

4808 E JOHNSON AVE
JONESBORO, AR 72401

Craighead County (870) 936-7000

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 Northeast Arkansas Clinic Charitable Foundation, Inc.'s NPI number?

The NPI number for Northeast Arkansas Clinic Charitable Foundation, Inc. is 1912328428. It was assigned to this organization in the NPPES registry on December 31, 2013. The provider is doing business as Fowler Family Center For Cancer Care.

Where is Northeast Arkansas Clinic Charitable Foundation, Inc. located?

Northeast Arkansas Clinic Charitable Foundation, Inc. is located at 4808 E Johnson Ave, Jonesboro, AR 72401. The listed phone number is (870) 936-8000.

What is Northeast Arkansas Clinic Charitable Foundation, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oncology, with taxonomy code 261QX0200X.

When was this NPI record last updated?

The NPPES record for Northeast Arkansas Clinic Charitable Foundation, Inc. was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.