SPRING RIVER CLINIC, LLC – NPI #1598356982
Clinic/Center

SPRING RIVER CLINIC, LLC is an AHC clinic located in IMBODEN, AR. NPPES has assigned the NPI number 1598356982 to SPRING RIVER CLINIC, LLC on January 29, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

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 SPRING RIVER CLINIC, LLC below.

NPI Profile for
SPRING RIVER CLINIC, LLC

NPI Number
1598356982
Enumeration Date

(more than 5 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
SPRING RIVER CLINIC, LLC
Primary location
201 N WALNUT ST
IMBODEN, AR 72434-9160
Phone: (423) 534-4917 Fax:
Mailing address
2803 SPARROW HAWK LN
POCAHONTAS, AR 72455-1486
Phone: (423) 534-4917 Fax:
Organization Subpart
No
Authorized Official
JEFFERYDON COON
MANAGER
Phone: (423) 534-4917
Updated
Certification Date
Jan 29, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
261QP2300X
- Clinic/Center / Primary Care (Primary)
207R00000X
- Internal Medicine

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.