MORRILTON MEDICAL CLINIC, P.A. (NPI# 1083989040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083989040 |
| Entity Type | Organization |
| Organization Name | MORRILTON MEDICAL CLINIC, P.A. |
| Practice Address |
10 Hospital Dr Morrilton AR 72110-4510 |
| Practice Telephone | 5013540052 |
| Practice Fax Number | 5013549142 |
| Mailing Telephone | 5013540052 |
| Mailing Fax Number | 5013549142 |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |
| Authorized Official Name | MARK HOELZEMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 5013540052 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144312299 | Morrilton Medical Clinic, P.a. | Internal Medicine | #10 Hospital Drive, Morrilton, AR 72110 | 2006-09-28 |
| Street Address |
10 HOSPITAL DR |
| City | MORRILTON |
| State | AR |
| Zip Code | 72110-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578884540 | Dustin A Creech | Family Medicine | 10 Hospital Dr, Morrilton, AR 72110-4510 | 2010-06-14 |
| 1932332103 | Clinic Health Care Pharmacy | Pharmacy | 10 Hospital Dr, Morrilton, AR 72110-4510 | 2009-09-03 |
| 1629238795 | Lydia Trauth | Family Medicine | 10 Hospital Dr, Morrilton Medical Clinic, Morrilton, AR 72110-4510 | 2008-06-12 |
| 1922268911 | Kyle Trauth | Family Medicine | 10 Hospital Dr, Morrilton Medical Clinic, P.a., Morrilton, AR 72110-4510 | 2008-06-12 |
| 1225053986 | C&w Pharmacy Inc | Pharmacy | 10 Hospital Dr, Morrilton, AR 72110-4510 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326692674 | Kaitlyn Riggin | Counselor | 100 S. Cherokee, Morrilton, AR 72110 | 2019-07-25 |
| 1871976530 | Zachary Dixon Family Dental/ Dixon Family Dental | Dentist | 1700 University Blvd, Suite 105, Morrilton, AR 72110 | 2015-06-30 |
| 1669854493 | Stuart Sherwood | Dentist | 1700 University Blvd., Suite 105, Morrilton, AR 72110 | 2015-06-29 |
| 1538392360 | Sandra L Greeson | Physical Therapist | 27 Cothren Estates, Morrilton, AR 72110 | 2009-08-27 |
| 1295998128 | Brenda J Alred | Speech-Language Pathologist | 100 Robert Fiser Drive, Morrilton, AR 72110 | 2008-07-10 |
| 1043417835 | Three Guys, Inc | Pharmacy | 100 South Joseph St, Morrilton, AR 72110 | 2007-06-27 |
| 1720100464 | Brenda Wilson | Physical Therapist | 100 Robert H. Fiser Dr., Morrilton, AR 72110 | 2007-04-04 |
| 1770631467 | Conway County Community Service Inc. | Community/Behavioral Health | 100 S Cherokee St., Morrilton, AR 72110 | 2007-01-08 |
| 1154489581 | Jackie Coombe-moore | Psychiatry & Neurology | Counseling Associates, Inc, 8 Hospital Drive, Morrilton, AR 72110 | 2006-12-05 |
| 1932275195 | University of Arkansas for Medical Sciences | Pediatrics | 100 Robert Fiser Ave, Morrilton, AR 72110 | 2006-11-28 |
| Find all providers in zip 72110 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891778049 | St Anthony's Hospital Association | Clinic/Center | 4 Hospital Dr, Morrilton, AR 72110-4510 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634738 | Mississippi County Hospital System | Clinic/Center | 1521 N 10th St Ste G, Blytheville, AR 72315-1424 | 2020-09-18 |
| 1962015859 | Lansdell Family Clinic Pllc | Clinic/Center | 1124 Main Ave, Dierks, AR 71833-9421 | 2020-08-28 |
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1710465190 | Arcare | Clinic/Center | 3150 E. Heritage Parkway, Farmington, AR 72753 | 2018-07-30 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1316443807 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 1306 North Lincoln Avenue, Star City, AR 71667 | 2018-04-03 |
| 1124539648 | Access Medical Clinic Arkansas LLC | Clinic/Center | 1016 North Fourche Avenue, Perryville, AR 72126 | 2017-10-24 |
| 1174044697 | Bradley County Medical Center Rural Health Clinic | Clinic/Center | 304 East Central, Warren, AR 71671-0000 | 2017-07-06 |
| 1144755570 | Access Medical Clinic Arkansas LLC | Clinic/Center | 16723 Hwy 62, Garfield, AR 72732 | 2017-04-24 |
| 1568904480 | Bradley Bibb, Md Pllc | Clinic/Center | 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 | 2016-11-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.