NEA BAPTIST URGENT CARE PLUS – NPI #1922789676
Clinic/Center

NEA BAPTIST URGENT CARE PLUS is an AHC clinic located in JONESBORO, AR. NPPES has assigned the NPI number 1922789676 to NEA BAPTIST URGENT CARE PLUS on July 26, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NEA BAPTIST URGENT CARE PLUS” is a dba name, the actual legal business name for this organization is NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 2 years ago on Mar 01, 2024. 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 NEA BAPTIST URGENT CARE PLUS below.

NPI Profile for
NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC

NPI Number
1922789676
Enumeration Date

(about 3 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
NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC
Doing Business As (dba): NEA BAPTIST URGENT CARE PLUS
Primary location
3001 APACHE DR STE B
JONESBORO, AR 72401-7447
Phone: (870) 936-8000 Fax:
Mailing address
350 N HUMPHREYS BLVD
MEMPHIS, TN 38120-2177
Phone: (901) 227-5233 Fax:
Organization Subpart
Yes - NEA BAPTIST URGENT CARE PLUS is subpart of another organization.
Authorized Official
GREGORY DUCKETT
SR VP/CLO
Phone: (901) 227-5233
Updated
Certification Date
Mar 01, 2024

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
261QU0200X
- Clinic/Center / Urgent Care (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.