LAVACA FAMILY CLINIC (NPI# 1407024045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407024045 |
| Entity Type | Organization |
| Organization Name | LAVACA FAMILY CLINIC |
| Practice Address |
1000 W Main St Lavaca AR 72941-3530 |
| Mailing Address |
880 W Main St Booneville AR 72927-3420 |
| Practice Telephone | 4796749181 |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2009-09-08 |
| Authorized Official Name | DZAIDI DAUD (CEO) |
| Authorized Official Telephone | 4796752800 |
| Is Organization Subpart | Y |
| Parent Organization Name | BOONVILLE COMMUNITY HOSPITAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
1000 W MAIN ST |
| City | LAVACA |
| State | AR |
| Zip Code | 72941-3530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265804389 | Cynthia Leach | Social Worker | 604 Tiffany Drive, Lavaca, AR 72941 | 2015-10-28 |
| 1154725067 | Health-wise Pharmacy, Pllc | Pharmacy | 1800 West Main, Lavaca, AR 72941 | 2014-10-21 |
| 1215065974 | Lavaca School District | Local Education Agency (LEA) | 203 Fir Street, Lavaca, AR 72941 | 2007-03-02 |
| 1932188216 | Robert E. Sanders | Internal Medicine | 603 S Division St, Suite A, Lavaca, AR 72941 | 2006-01-13 |
| 1245838580 | Ciara Fleer | Occupational Therapist | 1408 Nixon Rd, Lavaca, AR 72941-3116 | 2020-10-09 |
| 1154388999 | Area Agency On Aging of Western Arkansas, Inc | Hospice Care, Community Based | 500 S Division St, Lavaca, AR 72941-4126 | 2006-04-26 |
| 1508823113 | Area Agency On Aging of Western Arkansas, Inc | Home Health | 500 S Division St, Lavaca, AR 72941-4126 | 2006-04-27 |
| 1902452345 | River Valley Primary Care Services | Clinic/Center | 603 S Division St, Lavaca, AR 72941-4129 | 2019-08-12 |
| 1821390287 | Lavaca Wellness Clinic, P.a. | Clinic/Center | 603 S Division St, Lavaca, AR 72941-4129 | 2010-11-17 |
| 1780990408 | Kelly Jo Hubbard | Nurse Practitioner | 603 S Division St, Lavaca, AR 72941-4129 | 2010-08-19 |
| Find all providers in zip 72941 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821390287 | Lavaca Wellness Clinic, P.a. | Clinic/Center | 603 S Division St, Lavaca, AR 72941-4129 | 2010-11-17 |
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|---|---|---|---|---|
| 1275134603 | Sheridan Family Clinic, Pllc | Clinic/Center | 109 W Pine St Ste A, Sheridan, AR 72150-2443 | 2020-11-03 |
| 1346848850 | Arkansas Premier Medical Clinic | Clinic/Center | 22461 I 30 Ste 402, Bryant, AR 72022-2383 | 2020-10-16 |
| 1659985570 | Premise Health of Arkansas Medical P A | Clinic/Center | 3307 N 2nd St, Rogers, AR 72756-0001 | 2020-09-08 |
| 1497376321 | Magnolia Regional Health System Inc | Clinic/Center | 1010 N Dudney Rd Ste C, Magnolia, AR 71753-2651 | 2020-05-01 |
| 1548892433 | Genesis Health and Wellness, Pllc | Clinic/Center | 110 N Hendrix St, Imboden, AR 72434-9077 | 2020-02-07 |
| 1700430386 | Kidspiration of Marion County | Clinic/Center | 81 Development Dr, Yellville, AR 72687-0662 | 2019-07-31 |
| 1891357455 | Pinnacle Health Partners Pllc | Clinic/Center | 17447 Highway 9, Benton, AR 72019-9223 | 2019-07-03 |
| 1083273007 | Diane K Bodemann Md Ltd | Clinic/Center | 256 Grandstaff Dr, Hot Springs, AR 71913-8789 | 2019-06-12 |
| 1265098552 | Community Family Medical LLC | Clinic/Center | 1139 North Highway 77, Marion, AR 72364-9027 | 2019-05-13 |
| 1174187132 | Arcare | Clinic/Center | 3800 Rogers Ave Ste 6, Fort Smith, AR 72903-3075 | 2019-04-25 |
| 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.