DICKSON STREET CLINIC – NPI #1427236926
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

Health Care Provider Taxonomy Code for Family Medicine

DICKSON STREET CLINIC is a provider located in FAYETTEVILLE, AR. NPPES has assigned the NPI number 1427236926 to DICKSON STREET CLINIC on February 06, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult 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 DICKSON STREET CLINIC below.

NPI Profile for
DICKSON STREET CLINIC

NPI Number
1427236926
Enumeration Date

(more than 18 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
DICKSON STREET CLINIC
Primary location
102 W DICKSON ST
FAYETTEVILLE, AR 72701-5219
Phone: (479) 521-1114 Fax: (479) 521-2540
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CARL MAGNESS
OWNER/PHYSICIAN
Phone: (479) 521-1114
Updated
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
207QA0505X
- Family Medicine / Adult Medicine (Primary)		 AR C4954

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.