REDICLINIC – NPI #1114067519
Clinic/Center

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).

Health Care Provider Taxonomy Code for Clinic/Center

REDICLINIC is an AHC clinic located in FAYETTEVILLE, AR. NPPES has assigned the NPI number 1114067519 to REDICLINIC on February 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “REDICLINIC” is a dba name, the actual legal business name for this organization is REDICLINIC LLC. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 17 years ago on Jan 20, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for REDICLINIC below.

NPI Profile for
REDICLINIC LLC

NPI Number
1114067519
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
REDICLINIC LLC
Doing Business As (dba): REDICLINIC
Primary location
3911 NORTH MALL AVENUE
FAYETTEVILLE, AR 72703
Phone: (866) 706-6334 Fax: (713) 358-4801
Mailing address
9 GREENWAY PLAZA
SUITE 2950
HOUSTON, TX 77046-0905
Phone: (866) 935-0333 Fax: (713) 935-9353
Organization Subpart
No
Authorized Official
ERIC FOURNET
CFO
Phone: (713) 580-9468
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.