NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC (NPI# 1588995625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588995625 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC |
| Other Organization Name | NEA BAPTIST CLINIC WOODSPRINGS |
| Practice Address |
2205 W Parker Rd Jonesboro AR 72404-7778 |
| Mailing Address |
Po Box 1960 Jonesboro AR 72403-1960 |
| Practice Telephone | 8709339250 |
| Practice Fax Number | 8709314790 |
| 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 WOODSPRINGS | 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 |
| 1306177456 | Northeast Arkansas Clinic Charitable Foundation, Inc | Durable Medical Equipment & Medical Supplies | 616 W Keiser, Osceola, AR 72370 | 2010-01-28 |
| 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 |
| Street Address |
2205 W PARKER RD |
| City | JONESBORO |
| State | AR |
| Zip Code | 72404-7778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386605475 | Wallace S Hoke | Family Medicine | 2205 W Parker Rd, Jonesboro, AR 72404-7778 | 2006-03-29 |
| 1063977965 | Steven D Vanderbilt | Nurse Practitioner | 2205 W Parker Rd, Jonesboro, AR 72404-7778 | 2019-02-05 |
| 1366816670 | Erika L Vance | Nurse Practitioner | 2205 W Parker Rd, Jonesboro, AR 72404-7778 | 2015-11-24 |
| 1457721359 | Stephanie L Wiggins | Nurse Practitioner | 2205 W Parker Rd, Jonesboro, AR 72404-7778 | 2015-10-05 |
| 1588783666 | Brannon A. Treece | Internal Medicine | 2205 W Parker Rd, Jonesboro, AR 72404-7778 | 2007-03-28 |
| 1346207115 | Nathan W Turney | Family Medicine | 2205 W Parker Rd, Jonesboro, AR 72404-7778 | 2006-04-27 |
| 1295791523 | Randall Carlton | Family Medicine | 2205 W Parker Rd, Jonesboro, AR 72404-7778 | 2006-04-25 |
| 1912960519 | Craig A. Mcdaniel | Family Medicine | 2205 W Parker Rd, Jonesboro, AR 72404-7778 | 2006-04-07 |
| 1124089297 | Troy A. Vines | Family Medicine | 2205 W Parker Rd, Jonesboro, AR 72404-7778 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740745967 | Imove, LLC | Physical Therapist | 8700 S. Caraway Rd., Apt. L2, Jonesboro, AR 72404 | 2019-02-01 |
| 1245728914 | Karina Coats | Nurse Anesthetist, Certified Registered | 2409 Skyline Pt, Jonesboro, AR 72404 | 2018-04-27 |
| 1619325263 | Kathryn Meyers | Specialist/Technologist | 1614 Latourette Ln Apt 2, Jonesboro, AR 72404 | 2016-05-24 |
| 1922476571 | Tmj and Facial Pain Center,llc | Dentist | 2600 Browns Lane, Ste B, Jonesboro, AR 72404 | 2015-09-11 |
| 1265828156 | Hd Dental, Pa Dba Smile Dental | Dentist | 6009 Highway 1 South, Jonesboro, AR 72404 | 2015-04-08 |
| 1124445358 | Tanner Wilson Jarrett | Occupational Therapy Assistant | 3114 Fox Road Suite A, Jonesboro, AR 72404 | 2014-03-26 |
| 1154759793 | Kasey Boyd | Specialist/Technologist | 1717 Hwy 163, Jonesboro, AR 72404 | 2013-10-17 |
| 1578848610 | Maria Ivonne Norman | Physical Therapist | 8700 S. Caraway Rd. Apt. L2, (the Meadows), Jonesboro, AR 72404 | 2011-10-20 |
| 1003198839 | Rachel Hollimon Golden | Speech-Language Pathologist | 4410 Harrisburg Rd., Jonesboro, AR 72404 | 2011-09-19 |
| 1225358021 | Darrell R Gann | Physical Therapy Assistant | 6040 Beaver Creek, Jonesboro, AR 72404 | 2010-06-03 |
| Find all providers in zip 72404 | ||||
| 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 |
|---|---|---|---|---|
| 1497363436 | Just Like You Post-mastectomy Fitting Boutique | Durable Medical Equipment & Medical Supplies | 2913 King St Ste 3, Jonesboro, AR 72401-5353 | 2020-07-15 |
| 1700334455 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 110 Southwest Drive, Jonesboro, AR 72401-5827 | 2016-09-12 |
| 1972907582 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2811 Creek Dr, Jonesboro, AR 72401-5377 | 2014-10-13 |
| 1962806620 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3319 Harrisburg Rd, Jonesboro, AR 72404-8782 | 2014-10-09 |
| 1801215264 | Willie Murray | Durable Medical Equipment & Medical Supplies | 709 Belle Grove Dr, Jonesboro, GA 30238-4167 | 2014-04-14 |
| 1366879603 | Prestige Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 2224 Conrad Dr Ste A, Jonesboro, AR 72401-7222 | 2013-10-01 |
| 1790125938 | Marshall World Empire Coach/n.e.t. | Durable Medical Equipment & Medical Supplies | 7737 Jonesboro Rd, Jonesboro, GA 30236-2418 | 2013-07-02 |
| 1477893949 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 2405 S Caraway Rd, Jonesboro, AR 72401-6208 | 2013-02-21 |
| 1386912020 | Amrod, Inc. | Durable Medical Equipment & Medical Supplies | 9456 S Main St, Suite D-2, Jonesboro, GA 30236-6072 | 2011-12-08 |
| 1346545662 | Lavorne Blyden-green | Durable Medical Equipment & Medical Supplies | 7733 Town Ct, Jonesboro, GA 30236-2395 | 2011-01-18 |
| Find all providers in JONESBORO | ||||
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.