MMC RURAL HEALTH CLINICS, PLLC (NPI# 1316443807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316443807 |
| Entity Type | Organization |
| Organization Name | MMC RURAL HEALTH CLINICS, PLLC |
| Other Organization Name | MMC STAR CITY CLINIC |
| Practice Address |
1306 North Lincoln Avenue Star City AR 71667 |
| Practice Telephone | 8706281388 |
| Practice Fax Number | 8706281347 |
| Mailing Telephone | 8706281388 |
| Mailing Fax Number | 8706281347 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |
| Authorized Official Name | SYLVIA CHAMBERS SIMON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8707234513 |
| Authorized Official Credential | M.D. |
| 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 |
| Other Name | Type Code |
|---|---|
| MMC Star City Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| Street Address |
1306 NORTH LINCOLN AVENUE |
| City | STAR CITY |
| State | AR |
| Zip Code | 71667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557143 | Christie Abella | Specialist/Technologist | 2006 Goodfellow Road, Star City, AR 71667 | 2020-08-06 |
| 1982193975 | Monticello Medical Clinic, Plc | Family Medicine | 1306 N. Lincoln Avenue, Star City, AR 71667 | 2018-05-04 |
| 1609379346 | Mainline Health Systems, Inc. | Clinic/Center | 310 Ashley St., Star City, AR 71667 | 2018-03-08 |
| 1124565213 | Mainline Health Systems, Inc | Clinic/Center | 310 Ashley St, Star City, AR 71667 | 2017-01-26 |
| 1801105424 | Tammy Renee White | Pharmacist | 1309 North Lincoln Ave, Star City, AR 71667 | 2010-09-30 |
| 1356598783 | Patrick Keith Numan | Counselor | 301 N. Oak St, Star City, AR 71667 | 2008-08-27 |
| 1568669844 | Jeri Lou Farabough | Speech-Language Pathologist | Bradley Street, Star City, AR 71667 | 2007-06-29 |
| 1396768636 | Barbara Diane Weaver | Social Worker | 110 N Drew, Star City, AR 71667 | 2006-07-26 |
| 1336184431 | University of Arkansas for Medical Sciences | Family Medicine | 203 S Jefferson St, Star City, AR 71667 | 2006-06-20 |
| 1023587524 | Amanda H Kelley | Social Worker | 110 N Drew St, Star City, AR 71667 | 2018-11-14 |
| Find all providers in zip 71667 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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 |
| 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 |
| 1588015820 | Bradley Bibb Md Pllc | Clinic/Center | 2161 Ar 56 Highway, Calico Rock, AR 72519 | 2016-06-28 |
| 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.