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MEMORIAL MEDICAL CLINIC
NPI 1962719856
Family Medicine in Ashdown, AR

Active since September 13, 2010CLIA 04D2158098 · Waiver
370 W MAIN ST, ASHDOWN, AR 71822(870) 898-4100(870) 898-5791 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2023, Jul 26, 2017, Feb 28, 2017 and 2 more (5 updates tracked since 2016).

About Memorial Medical Clinic NPPES

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

MEMORIAL MEDICAL CLINIC (NPI 1962719856) is a healthcare organization registered as a family medicine in Ashdown, Arkansas and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through November 19, 2026 and lists Vicki Ann Keener, Adm. Assistant, as its authorized official.

NPPES Registry Identity

NPI1962719856
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLITTLE RIVER MEDICAL CENTER, INC.
Location Address370 W MAIN STAshdown, AR 71822-2750
Mailing Address450 W Locke St, Suite CAshdown, AR 71822-3326 · (870) 898-5011 · Fax (870) 898-4172
Phone(870) 898-4100
Fax(870) 898-5791
Organization SubpartYes
Authorized OfficialVicki Ann KeenerAdm. Assistant · (870) 898-5011
Enumeration DateSeptember 13, 2010
Last NPPES UpdateNovember 10, 20235 updates tracked since enumeration
NPPES CertifiedNovember 10, 2023
✔ NPI 1962719856 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.
370 W MAIN ST, Ashdown, AR 71822
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Other Names 1

Doing Business AsMemorial Medical Clinic

Other Identifiers 2

Other5G384AR · Bcs
Medicaid191446002AR

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 Waiver 04D2158098

Memorial Medical Clinic · Ashdown, AR
Active · expires Nov 19, 2026
CLIA Number04D2158098
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2024
Certificate Expiration DateNovember 19, 2026
Laboratory DirectorDr. Martega M. Walton
Laboratory Phone(870) 898-4100
Laboratory LocationMemorial Medical Clinic370 West Main Street, Ashdown, AR 71822
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DR. WILLIAM REESE LUNSFORD JR. D.D.S.
Dentist (General Practice)
370 W MAIN ST
ASHDOWN, AR 71822
Little River County (870) 898-5077
DR. MARION D DOUGLAS D.D.S.
Dentist (General Practice)
370 W MAIN ST
ASHDOWN, AR 71822
Little River County (870) 898-5077
REESE LUNSFORD DDS PLLC
Clinic/Center (Dental)
370 W MAIN ST
ASHDOWN, AR 71822
Little River County (870) 898-5077
DR. LARRY G DAVIS D.D.S.
Dentist (General Practice)
370 W MAIN ST
ASHDOWN, AR 71822
Little River County (870) 898-5077
DAVIS & DOUGLAS D.D.S. P.A.
Dentist (General Practice)
370 W MAIN ST
ASHDOWN, AR 71822
Little River County (870) 898-5077
REESE LUNSFORD DDS PLLC
Dentist
370 W MAIN ST
ASHDOWN, AR 71822
Little River County (870) 898-5077

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 Little River Medical Center, Inc.'s NPI number?

The NPI number for Little River Medical Center, Inc. is 1962719856. It was assigned to this organization in the NPPES registry on September 13, 2010. The provider is doing business as Memorial Medical Clinic.

Where is Little River Medical Center, Inc. located?

Little River Medical Center, Inc. is located at 370 W Main St, Ashdown, AR 71822. The listed phone number is (870) 898-4100.

What is Little River Medical Center, Inc.'s specialty?

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

Does Little River Medical Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2158098) is associated with this NPI, valid through November 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Little River Medical Center, Inc. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Little River Medical Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Little River Medical Center, Inc. was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.