NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC (NPI# 1306177456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306177456 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC |
| Other Organization Name | NEA BAPTIST CLINIC OSCEOLA |
| Practice Address |
616 W Keiser Osceola AR 72370 |
| Mailing Address |
Po Box 1960 Jonesboro AR 72403-1960 |
| Practice Telephone | 8705635888 |
| Practice Fax Number | 8705636175 |
| Mailing Telephone | 8709345101 |
| Mailing Fax Number | 8709323608 |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2010-05-21 |
| Authorized Official Name | ERROL SCOT DAVIS (CFO) |
| Authorized Official Telephone | 8709345107 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| NEA BAPTIST CLINIC OSCEOLA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982935060 | Northeast Arkansas Clinic Charitable Foundation, Inc | Durable Medical Equipment & Medical Supplies | 1007 Windover, Ste B, Jonesboro, AR 72401 | 2010-01-29 |
| 1639400807 | Northeast Arkansas Clinic Charitable Foundation, Inc | Durable Medical Equipment & Medical Supplies | 51 Choctaw Trce, Cherokee Village, AR 72529-2702 | 2010-01-27 |
| 1346661956 | Northeast Arkansas Clinic Charitable Foundation, Inc | Clinic/Center | 4802 E. Johnson Avenue, Jonesboro, AR 72401 | 2013-12-27 |
| 1518299577 | Northeast Arkansas Clinic Charitable Foundation, Inc | Durable Medical Equipment & Medical Supplies | 3100 Apache Dr, Suite B 3, Jonesboro, AR 72401-7404 | 2010-02-02 |
| 1881926848 | Northeast Arkansas Clinic Charitable Foundation, Inc | Durable Medical Equipment & Medical Supplies | 3100 Apache Dr, Suite B 1, Jonesboro, AR 72401-7404 | 2010-02-02 |
| 1326370388 | Northeast Arkansas Clinic Charitable Foundation, Inc | Durable Medical Equipment & Medical Supplies | 3100 Apache Dr, Suite A, Jonesboro, AR 72401-7404 | 2010-02-02 |
| 1972835924 | Northeast Arkansas Clinic Charitable Foundation, Inc | Durable Medical Equipment & Medical Supplies | 3100 Apache Dr, Suite B 4, Jonesboro, AR 72401-7404 | 2010-02-02 |
| 1245562206 | Northeast Arkansas Clinic Charitable Foundation, Inc | Durable Medical Equipment & Medical Supplies | 3100 Apache Dr, Suite B 2, Jonesboro, AR 72401-7404 | 2010-02-02 |
| 1700117892 | Northeast Arkansas Clinic Charitable Foundation, Inc | Durable Medical Equipment & Medical Supplies | 1007 Windover Rd, Suite A, Jonesboro, AR 72401-6007 | 2010-01-29 |
| 1083945166 | Northeast Arkansas Clinic Charitable Foundation, Inc | Durable Medical Equipment & Medical Supplies | 416 E Washington Ave, Suite B, Jonesboro, AR 72401-3108 | 2010-01-29 |
| Street Address |
616 W KEISER |
| City | OSCEOLA |
| State | AR |
| Zip Code | 72370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417411570 | Southern Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 922 West Kizer St., Osceola, AR 72370 | 2019-01-23 |
| 1831431733 | Shaquata Davis | Social Worker | 1487 West Keiser Ave. Suite 1, Osceola, AR 72370 | 2013-03-19 |
| 1821348855 | Mary Kathryn Campbell | Speech-Language Pathologist | 315 E Union, Osceola, AR 72370 | 2012-09-18 |
| 1518230697 | Nikki D Moore | Case Manager/Care Coordinator | 1487 West Keiser Ave Ste I, Osceola, AR 72370 | 2012-02-20 |
| 1134497845 | Tim Allen | Case Manager/Care Coordinator | 3201 W. Keiser Ave., Osceola, AR 72370 | 2011-12-08 |
| 1184929663 | Gail Renee Barger | Counselor | 3201 West Keiser, Osceola, AR 72370 | 2011-01-14 |
| 1134423833 | Donna Susan Richmond | Speech-Language Pathologist | 1866 S Hwy 77, Osceola, AR 72370 | 2011-01-10 |
| 1972807592 | Meredith Annette Harris | Case Manager/Care Coordinator | 3201 West Keiser Ave, Osceola, AR 72370 | 2010-12-23 |
| 1093018871 | Tabatha G Bingham | Case Manager/Care Coordinator | 3201 W. Keiser, Osceola, AR 72370 | 2010-12-16 |
| 1588974109 | Sheila Lynette Rumph | Case Manager/Care Coordinator | 1487 W. Keiser Ave. Suite 1, Osceola, AR 72370 | 2010-10-15 |
| Find all providers in zip 72370 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720264179 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2400 College Dr, Osceola, IA 50213-8235 | 2008-01-16 |
| 1801079025 | Dr. L B Keller, Optometrist, Plc | Durable Medical Equipment & Medical Supplies | 102 Plantation Dr, Osceola, AR 72370-1837 | 2007-12-11 |
| 1407993447 | Dixie Health Care, Inc | Durable Medical Equipment & Medical Supplies | 606 W Keiser Ave, Osceola, AR 72370-3504 | 2007-01-31 |
| 1003906710 | St. Clair County Hospsital District #l | Durable Medical Equipment & Medical Supplies | 700 Giesler Rd, Osceola, MO 64776-6279 | 2006-10-13 |
| 1255358644 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2720 W Keiser Ave, Osceola, AR 72370-3443 | 2006-07-16 |
| 1821033663 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 1012 Jeffreys Dr, Osceola, IA 50213-9500 | 2006-06-17 |
| 1316999592 | Long Term Medical Supply Corporation | Durable Medical Equipment & Medical Supplies | 144 W Jefferson St, Osceola, IA 50213-1286 | 2006-05-16 |
| 1417234014 | St. Croix Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 2600 65th Ave, Osceola, WI 54020-4370 | 2011-11-10 |
| 1760501647 | St. Clair County Hospital District #l | Durable Medical Equipment & Medical Supplies | 855 Arduser Dr, Osceola, MO 64776-6278 | 2007-03-29 |
| 1003864505 | Iowa Physicians Clinic Medical Foundation | Durable Medical Equipment & Medical Supplies | 827 S Jackson St, Osceola, IA 50213-1666 | 2006-05-05 |
| Find all providers in OSCEOLA | ||||
Please comment or provide details below to improve the information on NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.
| 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.