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MCCRORY FAMILY CLINIC PA
NPI 1972613743
Clinic/Center - Rural Health in Mccrory, AR

Active since August 30, 2006
908 N EDMONDS AVE, MCCRORY, AR 72101(870) 731-1100(870) 731-1019 Get Directions Write a Review

NPPES record last updated: June 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mccrory Family Clinic Pa NPPES

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

MCCRORY FAMILY CLINIC PA (NPI 1972613743) is a healthcare organization registered as a rural health in Mccrory, Arkansas and active in the NPI registry since August 2006. The organization lists Fred E Wilson, Md, as its authorized official.

NPPES Registry Identity

NPI1972613743
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMCCRORY FAMILY CLINIC PA
Location Address908 N EDMONDS AVEMccrory, AR 72101
Mailing AddressPo Box 780Mccrory, AR 72101 · (870) 731-1100 · Fax (870) 731-1019
Phone(870) 731-1100
Fax(870) 731-1019
Organization SubpartNo
Authorized OfficialFred E WilsonMd · (870) 731-1100
Enumeration DateAugust 30, 2006
Last NPPES UpdateJune 9, 2008
✔ NPI 1972613743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in AR · MC-1803
908 N EDMONDS AVE, Mccrory, AR 72101
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Other Identifiers 5

OtherCI5031AR · Railroad Medicare
Medicare ID-Type Unspecified043844AR · Rural Health Medicare #
Medicaid134474729AR
Medicare ID-Type Unspecified5C026AR
Medicaid134056002AR

Other Providers at the Same Location NPPES

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

REBECCA JANE O'SHIELDS APRN
Nurse Practitioner (Family)
908 N EDMONDS AVE
MC CRORY, AR 72101
Woodruff County (870) 731-1100

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 Mccrory Family Clinic PA's NPI number?

The NPI number for Mccrory Family Clinic PA is 1972613743. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Mccrory Family Clinic PA located?

Mccrory Family Clinic PA is located at 908 N Edmonds Ave, Mccrory, AR 72101. The listed phone number is (870) 731-1100.

What is Mccrory Family Clinic PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Mccrory Family Clinic PA was last updated on June 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.