LEE COUNTY COOPERATIVE CLINIC (NPI# 1134137219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134137219 |
| Entity Type | Organization |
| Organization Name | LEE COUNTY COOPERATIVE CLINIC |
| Other Organization Name | HUGHES SATELLITE CLINIC |
| Practice Address |
503 S Broadway St Hughes AR 72348-9701 |
| Mailing Address |
Po Box 669 Marianna AR 72360-0669 |
| Practice Telephone | 8702955225 |
| Practice Fax Number | 8702956900 |
| Mailing Telephone | 8702955225 |
| Mailing Fax Number | 8702956900 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS OSSIE M HALL (CASHIER./BILLING SUPERVISOR) |
| Authorized Official Telephone | 8702955225 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| HUGHES SATELLITE CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679581532 | Lee County Cooperative Clinic | Clinic/Center | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2006-08-04 |
| 1356359442 | Lee County Cooperative Clinic | Clinic/Center | 14264 Highway 44, Wabash, AR 72389 | 2006-08-04 |
| 1669480836 | Lee County Cooperative Clinic | Clinic/Center | 530 West Atkins Blvd, Marianna, AR 72360-2113 | 2006-08-04 |
| 1700034998 | Lee County Cooperative Clinic | Clinic/Center | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2008-09-03 |
| 1851433858 | Lee County Cooperative Clinic | Pharmacy | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2007-02-13 |
| Street Address |
503 S BROADWAY ST |
| City | HUGHES |
| State | AR |
| Zip Code | 72348-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578558326 | Jefferson Arnold Dunaway | Pharmacist | 503 S Broadway St, Hughes, AR 72348-9701 | 2005-09-19 |
| 1790961308 | Hughes Medical Equipment | Durable Medical Equipment & Medical Supplies | 503 S Broadway St, Hughes, AR 72348-9701 | 2008-01-14 |
| 1538279385 | G R Collum | General Practice | 503 S Broadway St, Hughes, AR 72348-9701 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245561901 | City of Hughes Office of City Clerk | Ambulance | 206 Blackwood, Hughes, AR 72348 | 2010-01-20 |
| 1699911537 | Life Strategies of Arkansas | Clinic/Center | 177 Bush Street, Building 77, Hughes, AR 72348 | 2008-12-24 |
| 1225463847 | Derrick Jackson | Case Manager/Care Coordinator | 177 Bush Street, Building 77, Hughes, AR 72348 | 2013-09-13 |
| 1699824532 | Hughes Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 503 S Broadway, Hughes, AR 72348-0922 | 2007-01-09 |
| 1437246709 | Dunaway's Family Pharmacy Inc. | Pharmacy | 503 S Broadway, Hughes, AR 72348-0922 | 2006-10-06 |
| 1114350410 | Stanley B Brawley | Dentist | 2654 Horseshoe Cir, Hughes, AR 72348-9065 | 2013-08-10 |
| 1043459928 | Hughes School District | Local Education Agency (LEA) | 310 College St, Hughes, AR 72348-9150 | 2009-02-17 |
| 1124397005 | Demarcus Burks | Case Manager/Care Coordinator | 304 N Broadway St, Hughes, AR 72348-9700 | 2011-12-21 |
| 1134498017 | Erica Montgomery | Case Manager/Care Coordinator | 304 N Broadway St, Hughes, AR 72348-9700 | 2011-12-21 |
| 1083885024 | New Visions of Arkansas | Clinic/Center | 115 Wilson St, Hughes, AR 72348-9709 | 2008-03-18 |
| Find all providers in zip 72348 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962014316 | Healthy Connections, Inc. | Clinic/Center | 1306 W Collin Raye Dr Ste B, De Queen, AR 71832-2502 | 2020-08-18 |
| 1982221065 | Arcare | Clinic/Center | 7300 Dollarway Rd Ste 116, White Hall, AR 71602-3023 | 2020-07-06 |
| 1669099073 | St Francis House Nwa, Inc | Clinic/Center | 1923 W Pickens Road, Pea Ridge, AR 72751 | 2020-07-01 |
| 1427674696 | Arcare | Clinic/Center | 11520 Sr 27, Hector, AR 72843-8710 | 2020-06-23 |
| 1487280384 | Arcare | Clinic/Center | 2805 Mid Cities Dr Ste 1, Bentonville, AR 72712-4291 | 2020-03-23 |
| 1073144028 | Arcare | Clinic/Center | 145 N Curtis Ave, Pea Ridge, AR 72751-3407 | 2020-01-29 |
| 1396383758 | Mainline Health Systems Inc | Clinic/Center | 1012 E Church St Ste B, Warren, AR 71671-3530 | 2019-12-17 |
| 1275177883 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 1201 North Panther Ave # 3, Yellville, AR 72687 | 2019-11-06 |
| 1649814138 | St Francis House Nwa, Inc | Clinic/Center | 2328 Cardinal Drive, Springdale, AR 72764-4469 | 2019-10-29 |
| 1104469832 | Arcare | Clinic/Center | 501 Millwood Cir Ste E, Maumelle, AR 72113-6304 | 2019-10-25 |
| 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.