RIVER CITY MINISTRY OF PULASKI COUNTY (NPI# 1205247004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205247004 |
| Entity Type | Organization |
| Organization Name | RIVER CITY MINISTRY OF PULASKI COUNTY |
| Other Organization Name | RIVER CITY MEDICAL CLINIC |
| Practice Address |
1021 E Washington Ave North Little Rock AR 72114-5853 |
| Practice Telephone | 5013766694 |
| Practice Fax Number | 5013766695 |
| Mailing Telephone | 5013766694 |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-11-17 |
| Authorized Official Name | MELANIE WARE (MEDICAL MANAGER) |
| Authorized Official Telephone | 5013766694 |
| Authorized Official Credential | A.P.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367A00000X | Advanced Practice Midwife | M001021 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207R00000X | Internal Medicine | C6822 | AR | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| River City Medical Clinic | Other Name - Individual/Organization |
| Street Address |
1021 E WASHINGTON AVE |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72114-5853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033134457 | Melanie J Ware | Midwife | 1021 E Washington Ave, North Little Rock, AR 72114-5853 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316432966 | Mid State Counseling and Recovery Service | Clinic/Center | 1920 Main St Ste 229, North Little Rock, AR 72114 | 2018-06-26 |
| 1053826842 | Kelli Lauron Johnson | Nurse Practitioner | 2800 North Willow Street, North Little Rock, AR 72114 | 2017-12-03 |
| 1689117756 | State of Arkansas | Skilled Nursing Facility | 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 | 2016-11-22 |
| 1366787459 | J Andrew Mccullough | Counselor | 628 W Broadway St Ste 300, North Little Rock, AR 72114 | 2012-11-30 |
| 1598071490 | Roger Elliott Hicks IIi | Counselor | 2200 Fort Roots Dr # 3d, North Little Rock, AR 72114 | 2010-08-30 |
| 1740594456 | Tuyet Thi Van | Dentist | 520 W. Pershing Blvd., North Little Rock, AR 72114 | 2010-08-05 |
| 1467764183 | Jennifer Leigh Nash | Behavioral Analyst | 628 W Broadway St Ste 100, North Little Rock, AR 72114 | 2010-07-10 |
| 1336398544 | Tina A Davie | Registered Nurse | 2200 Foot Roots Drive, Little Rock, AR 72114 | 2008-09-11 |
| 1316125313 | Centers for Youth & Families | Community/Behavioral Health | 200 W. 20th, North Little Rock, AR 72114 | 2008-02-01 |
| 1881878064 | Marie A Graham | Nurse Practitioner | 636 West Broadway St, No Little Rock, AR 72114 | 2007-12-24 |
| Find all providers in zip 72114 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891229548 | Arkansas Health Group | Internal Medicine | 3201 Springhill Dr Ste 100a, North Little Rock, AR 72117-2910 | 2017-04-19 |
| 1760820575 | Stefan Ceru Hemmings | Internal Medicine | 3401 Springhill Dr Ste 325, North Little Rock, AR 72117 | 2013-06-13 |
| 1326133943 | Arkansas Health Group | Internal Medicine | 3333 Springhill Dr., North Little Rock, AR 72117 | 2006-10-03 |
| 1972619377 | Michael Todd Pilcher | Internal Medicine | Primary Care Clinic, 11c3/nlr 2200 Ft. Roots Dr, North Little Rock, AR 72114 | 2006-08-21 |
| 1497769772 | Gerry Dean Ezell | Internal Medicine | 3201 Springhill Dr Ste 100, North Little Rock, AR 72117 | 2006-07-29 |
| 1245215243 | Prabhat K Hebbar | Internal Medicine | 4000 Richards Rd, Suite A, North Little Rock, AR 72117-2650 | 2005-12-13 |
| 1679061303 | Arkansas Health Group | Internal Medicine | 3401 Springhill Dr Ste 240, North Little Rock, AR 72117 | 2018-04-27 |
| 1265729537 | Kapil Yadav | Internal Medicine | 3343 Springhill Dr Ste 1035, North Little Rock, AR 72117 | 2011-07-07 |
| 1982920799 | Alfred William Keller IIi | Internal Medicine | 3333 Springhill Dr, North Little Rock, AR 72117-2922 | 2010-04-19 |
| 1013148832 | William Wesley Thorpe | Internal Medicine | 3333 Springhill Dr, North Little Rock, AR 72117-2922 | 2009-07-28 |
| Find all providers in NORTH LITTLE ROCK | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72114 |
Please comment or provide details below to improve the information on RIVER CITY MINISTRY OF PULASKI COUNTY.
| 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.