FOWLER FAMILY CENTER FOR CANCER CARE – NPI #1912328428
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.

FOWLER FAMILY CENTER FOR CANCER CARE is an AHC clinic located in JONESBORO, AR. NPPES has assigned the NPI number 1912328428 to FOWLER FAMILY CENTER FOR CANCER CARE on December 31, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FOWLER FAMILY CENTER FOR CANCER CARE” 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 261QX0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Oncology

The NPI profile was previously updated about 6 years ago on Sep 29, 2020. 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 FOWLER FAMILY CENTER FOR CANCER CARE below.

NPI Profile for
NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.

NPI Number
1912328428
Enumeration Date

(more than 12 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): FOWLER FAMILY CENTER FOR CANCER CARE
Primary location
4808 E JOHNSON AVE
JONESBORO, AR 72401-8413
Phone: (870) 936-8000 Fax: (870) 932-3608
Mailing address
PO BOX 1960
JONESBORO, AR 72403-1960
Phone: (870) 336-1485 Fax: (870) 336-1484
Organization Subpart
No
Authorized Official
GREGORY DUCKETT
SR. VP / CORPORATE SECRETARY
Phone: (901) 227-5233
Updated
Certification Date
Sep 29, 2020

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.

Identifiers

Identifiers for FOWLER FAMILY CENTER FOR CANCER CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSAR5G237
MEDICAIDAR184473002
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
261QX0200X
- Clinic/Center / Oncology (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.