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BOONEVILLE FAMILY CLINIC
NPI 1922006790
Family Medicine in Booneville, AR

Active since July 14, 2005
128 DANIEL AVE, BOONEVILLE, AR 72927(479) 675-2455(479) 675-4940 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Booneville Family Clinic NPPES

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

BOONEVILLE FAMILY CLINIC (NPI 1922006790) is a healthcare organization registered as a family medicine in Booneville, Arkansas and active in the NPI registry since July 2005. The organization lists Anna Faye Young, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1922006790
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBOONEVILLE FAMILY CLINIC
Location Address128 DANIEL AVEBooneville, AR 72927-0110
Mailing AddressPo Box 110, 128 Daniel AveBooneville, AR 72927-0110 · (479) 675-2455 · Fax (479) 675-4940
Phone(479) 675-2455
Fax(479) 675-4940
Organization SubpartNo
Authorized OfficialAnna Faye YoungClinic Manager · (479) 675-2455
Enumeration DateJuly 14, 2005
Last NPPES UpdateJuly 21, 2022
✔ NPI 1922006790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

128 DANIEL AVE, Booneville, AR 72927
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. MICHAEL S MIRANDA M.D.
Family Medicine
128 DANIEL AVE
BOONEVILLE, AR 72927
Logan County (479) 675-2455

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 Booneville Family Clinic's NPI number?

The NPI number for Booneville Family Clinic is 1922006790. It was assigned to this organization in the NPPES registry on July 14, 2005.

Where is Booneville Family Clinic located?

Booneville Family Clinic is located at 128 Daniel Ave, Booneville, AR 72927. The listed phone number is (479) 675-2455.

What is Booneville Family Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Booneville Family Clinic was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.