URBAN MEDICAL CLINIC (NPI# 1295030815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295030815 |
| Entity Type | Organization |
| Organization Name | URBAN MEDICAL CLINIC |
| Practice Address |
1 West Cherokee Village Mall #12 Cherokee Village AR 72529 |
| Mailing Address |
Po Box 310 Mountain Home AR 72654-0310 |
| Practice Telephone | 8702574110 |
| Practice Fax Number | 8702574112 |
| Mailing Telephone | 8704245079 |
| Mailing Fax Number | 8704248455 |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-04-19 |
| Authorized Official Name | ROSS DOUGLAS (BILLING MANAGER) |
| Authorized Official Telephone | 8704245079 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | R3890 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
1 WEST CHEROKEE VILLAGE MALL #12 |
| City | CHEROKEE VILLAGE |
| State | AR |
| Zip Code | 72529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861032963 | David Gregory | Physical Therapy Assistant | Therapy Works, Inc., 31 Choctaw Center, Cherokee Village, AR 72529 | 2020-01-07 |
| 1578970315 | Jennifer Lindsey Jones | Specialist/Technologist | 1 Hictochee Trace, Cherokee Village, AR 72529 | 2014-07-14 |
| 1619301512 | Cindy Cox | Case Manager/Care Coordinator | 4 E Village Mall, Cherokee Village, AR 72529 | 2013-08-27 |
| 1659616498 | Shannon M Harris | Case Manager/Care Coordinator | 4 East Village Mall, Cherokee Village, AR 72529 | 2012-12-05 |
| 1225331333 | Shyronn Dee Crider | Case Manager/Care Coordinator | 4 E. Cherokee Village Mall, Cherokee Village, AR 72529 | 2010-12-10 |
| 1588894299 | Samantha Sandridge | Case Manager/Care Coordinator | 4 Cherokee Village Mall, E, Cherokee Village, AR 72529 | 2009-07-16 |
| 1295977726 | Andrea Michelle Goodwin | Counselor | 4 E. Village Mall, Cherokee Village, AR 72529 | 2009-03-30 |
| 1245484617 | David Brittingham | Case Manager/Care Coordinator | 4 E Cherokee Village Mall, Cherokee Village, AR 72529 | 2008-11-11 |
| 1164687687 | Nicole Skidmore | Case Manager/Care Coordinator | #4 E. Cherokee Village Mall, Cherokee Village, AR 72529 | 2008-07-24 |
| 1629255120 | Robin Stuntz-christian | Counselor | #4 Cherokee Village Mall, Cherokee Village, AR 72529 | 2008-01-28 |
| Find all providers in zip 72529 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1093364820 | Center for Regenerative Medicine Pa | General Practice | 9307 Maumelle Blvd, North Little Rock, AR 72113-6609 | 2019-09-04 |
| 1083269690 | University of Arkansas At Monticello | General Practice | 663 University Drive, Monticello, AR 71656 | 2019-08-09 |
| 1912492786 | Chelsea Brown | General Practice | 6309 Highway 5 N, Bryant, AR 72022-8506 | 2018-06-25 |
| 1205345154 | Lakeside Walk-in Clinic Pllc | General Practice | 2230 Malvern Ave Ste E, Hot Springs, AR 71901-8000 | 2017-09-22 |
| 1558897595 | Epoch-nwa Pllc | General Practice | 5100 W Pauline Whitaker Pkwy, Ste. 110, Rogers, AR 72758-8335 | 2017-05-11 |
| 1023540655 | Aaron M Smith | General Practice | Varner Unit State Hwy 388, Gould, AR 71643 | 2017-04-02 |
| 1942749148 | Reece Lewis Crow | General Practice | 34 Windsor Road, Little Rock, AR 72212 | 2017-02-21 |
| Find all providers with the same taxonomy | ||||
| City | CHEROKEE VILLAGE |
| Zip Code | 72529 |
Please comment or provide details below to improve the information on URBAN MEDICAL CLINIC.
| 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.