URBAN MEDICAL CLINIC – NPI #1295030815
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

URBAN MEDICAL CLINIC is a provider located in CHEROKEE VILLAGE, AR. NPPES has assigned the NPI number 1295030815 to URBAN MEDICAL CLINIC on January 12, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 15 years ago on Apr 19, 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 URBAN MEDICAL CLINIC below.

NPI Profile for
URBAN MEDICAL CLINIC

NPI Number
1295030815
Enumeration Date

(more than 15 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
URBAN MEDICAL CLINIC
Primary location
1 WEST CHEROKEE VILLAGE MALL #12
CHEROKEE VILLAGE, AR 72529
Phone: (870) 257-4110 Fax: (870) 257-4112
Mailing address
PO BOX 310
MOUNTAIN HOME, AR 72654-0310
Phone: (870) 424-5079 Fax: (870) 424-8455
Organization Subpart
No
Authorized Official
ROSS DOUGLAS
BILLING MANAGER
Phone: (870) 424-5079
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
208D00000X
- General Practice (Primary)		 AR R3890

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.