FORREST CITY FAMILY PRACTICE CLINIC, PA – NPI #1649396979
Family Medicine

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

FORREST CITY FAMILY PRACTICE CLINIC, PA is a provider located in FORREST CITY, AR. NPPES has assigned the NPI number 1649396979 to FORREST CITY FAMILY PRACTICE CLINIC, PA on March 21, 2007. 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 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 15 years ago on Dec 01, 2011. 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 FORREST CITY FAMILY PRACTICE CLINIC, PA below.

NPI Profile for
FORREST CITY FAMILY PRACTICE CLINIC, PA

NPI Number
1649396979
Enumeration Date

(more than 19 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
FORREST CITY FAMILY PRACTICE CLINIC, PA
Primary location
902 HOLIDAY DR
SUITE 101
FORREST CITY, AR 72335-9183
Phone: (870) 630-1256 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NEIDA BYRD
BILLING MANAGER
Phone: (901) 737-3071
Updated
Identifiers

Identifiers for FORREST CITY FAMILY PRACTICE 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
OTHERBCBS GROUP IDARR3762
OTHERBCBS INDV NUMBERAR51280
MEDICAIDAR113530001
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 R3762
207QG0300X
- Family Medicine / Geriatric Medicine
AR R3762
207QA0000X
- Family Medicine / Adolescent Medicine
AR R3762

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.