MONTICELLO MEDICAL CLINIC, PLC – NPI #1982193975
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

MONTICELLO MEDICAL CLINIC, PLC is a provider located in STAR CITY, AR. NPPES has assigned the NPI number 1982193975 to MONTICELLO MEDICAL CLINIC, PLC on May 04, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. MONTICELLO MEDICAL CLINIC, PLC is also known by the name MMC-STAR CITY SATELLITE CLINIC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

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 MONTICELLO MEDICAL CLINIC, PLC below.

NPI Profile for
MONTICELLO MEDICAL CLINIC, PLC

NPI Number
1982193975
Enumeration Date

(more than 8 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
MONTICELLO MEDICAL CLINIC, PLC
Other Name: MMC-STAR CITY SATELLITE CLINIC
Primary location
1306 N. LINCOLN AVENUE
STAR CITY, AR 71667
Phone: (870) 628-1388 Fax: (870) 628-1347
Mailing address
906 ROBERTS DR
MONTICELLO, AR 71655-5724
Phone: (870) 367-6867 Fax: (870) 367-1461
Organization Subpart
Yes - MONTICELLO MEDICAL CLINIC, PLC is subpart of another organization.
Authorized Official
SYLVIA SIMON
MEDICAL DIRECTOR
Phone: (870) 367-6867
Updated
Identifiers

Identifiers for MONTICELLO MEDICAL CLINIC, PLC

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
MEDICAIDAR139812002
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
207Q00000X
- Family Medicine (Primary)
AR MC-1891

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.