COLLEGE PARK FAMILY CLINIC PA – NPI #1861478232
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Health Care Provider Taxonomy Code for Emergency Medicine

COLLEGE PARK FAMILY CLINIC PA is a provider located in CONWAY, AR. NPPES has assigned the NPI number 1861478232 to COLLEGE PARK FAMILY CLINIC PA on December 19, 2005. 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 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was last updated on Sep 11, 2025. 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 COLLEGE PARK FAMILY CLINIC PA below.

NPI Profile for
COLLEGE PARK FAMILY CLINIC PA

NPI Number
1861478232
Enumeration Date

(more than 20 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
COLLEGE PARK FAMILY CLINIC PA
Primary location
2511-A COLLEGE AVE
CONWAY, AR 72034
Phone: (501) 327-6041 Fax: (501) 327-6043
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GIL JOHNSON
CEO PRESIDENT
Phone: (501) 327-6041
Updated
Identifiers

Identifiers for COLLEGE PARK FAMILY CLINIC PA

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
otherQCAR11451000000
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
207P00000X
- Emergency Medicine (Primary)		 AR C6340
208000000X
- Pediatrics		 AR C6340
207Q00000X
- Family Medicine		 AR C6340

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.