NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC (NPI# 1588995633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588995633 |
Entity Type | Organization |
Organization Name | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC |
Other Organization Name | NEA BAPTIST CLINIC PARAGOULD |
Practice Address |
4700 W Kingshighway Paragould AR 72450-3465 |
Mailing Address |
Po Box 1960 Jonesboro AR 72403-1960 |
Practice Telephone | 8702408402 |
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 PARAGOULD | 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 |
4700 W KINGSHIGHWAY |
City | PARAGOULD |
State | AR |
Zip Code | 72450-3465 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326245291 | Leslye Mcgrath | Family Medicine | 4700 W Kingshighway, Paragould, AR 72450-3465 | 2007-07-02 |
1750804530 | Lyndon Ryan Ramirez | Nurse Practitioner | 4700 W Kingshighway, Paragould, AR 72450-3465 | 2017-07-24 |
1063957546 | Garrett Thomas Wray | Nurse Practitioner | 4700 W Kingshighway, Paragould, AR 72450-3465 | 2016-12-20 |
1659784957 | Duston Seth Jones | Physical Therapist | 4700 W Kingshighway, Paragould, AR 72450-3465 | 2014-06-04 |
1396091823 | Christopher John Enger | Physical Therapist | 4700 W Kingshighway, Paragould, AR 72450-3465 | 2012-08-02 |
1982992830 | Megan Aaryn Spurlock | Nurse Practitioner | 4700 W Kingshighway, Paragould, AR 72450-3465 | 2011-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063029460 | Onward and Upward Counseling, Pllc | Counselor | 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 | 2020-09-29 |
1871104182 | Michele Lynn Jones | Technician | 2905 Stonegate Dr, Paragould, AR 72450 | 2020-08-11 |
1205457405 | Arkansas Methodist Hospital Corp. | Family Medicine | 1000 W. Kinshighway, Suite 14, Paragould, AR 72450 | 2020-04-29 |
1053968222 | Stewart Pediatric Therapy LLC | Occupational Therapist | 1908 Mockingbird Lane, Suite A, Paragould, AR 72450 | 2019-08-22 |
1821575911 | Ashley Brooke Mcleskey | Physical Therapy Assistant | 9504 Hwy 135 N, Paragould, AR 72450 | 2018-07-23 |
1437660925 | Susan Leigh Boling | Behavioral Analyst | 3171 Green 905 Road, Paragould, AR 72450 | 2017-10-24 |
1518481589 | Amy Elms | Nurse Practitioner | 1000 W Kingshighway Ste 3, Paragould, AR 72450 | 2017-08-01 |
1073065074 | Sarah Katherine Medley | Case Manager/Care Coordinator | 1101 West Morgan, Paragould, AR 72450 | 2016-10-26 |
1285097949 | Chelsea Lee Thompson | Family Medicine | 1110 W. Kingshighway, Paragould, AR 72450 | 2016-03-31 |
1609234269 | Bethel Burris Oliver | Dentist | 2713 W Kings Highway, Paragould, AR 72450 | 2016-02-10 |
Find all providers in zip 72450 |
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 |
---|---|---|---|---|
1326408196 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2600 Linwood Dr, Paragould, AR 72450-6125 | 2016-03-07 |
1609248913 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1501 West Kings Hwy, Paragould, AR 72450-4010 | 2015-10-26 |
1013129600 | Medical Necessities, Inc | Durable Medical Equipment & Medical Supplies | 400 Hwy 49 N, Suite 1, Paragould, AR 72450 | 2007-05-04 |
1073601571 | Hancock Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3104 W Kingshighway, Paragould, AR 72450-2612 | 2006-10-10 |
1558473835 | Pulmonary and Sleep Diagnostics LLC | Durable Medical Equipment & Medical Supplies | 101 W Court St Ste 1, Paragould, AR 72450-4337 | 2006-08-31 |
1356450563 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1500 W Kingshighway, Paragould, AR 72450-4009 | 2006-08-30 |
1508883992 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2802 W Kingshighway, Paragould, AR 72450-2617 | 2006-07-16 |
1396297644 | Anesthesia Services Associates, Pllc. | Durable Medical Equipment & Medical Supplies | 1 Medical Dr Ste 100, Paragould, AR 72450-4005 | 2016-11-02 |
1932434446 | Medical Necessities of Arkansas, LLC | Durable Medical Equipment & Medical Supplies | 400 Highway 49 N, Suite 1, Paragould, AR 72450-4007 | 2009-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720689524 | Pain Treatment Centers of America, Pllc | Durable Medical Equipment & Medical Supplies | 9 Freeway Dr Ste B, Little Rock, AR 72204-2486 | 2020-11-06 |
1770182446 | Tpab Medical | Durable Medical Equipment & Medical Supplies | 406 Honey Suckle, Brookland, AR 72417-8980 | 2020-10-22 |
1235743808 | Dqhha Equipment & Supply, Inc. | Durable Medical Equipment & Medical Supplies | 103 W Dodson St, Nashville, AR 71852-3121 | 2020-09-01 |
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 |
1427687698 | Ccdld,inc | Durable Medical Equipment & Medical Supplies | 18 Farnham Loop, Little Rock, AR 72223-9199 | 2020-04-08 |
1073149373 | Delta Medical Group Inc | Durable Medical Equipment & Medical Supplies | 375 E Millsap Rd Ste 1, Fayetteville, AR 72703-6289 | 2020-03-18 |
1447883871 | Innovative Outcome, Inc. | Durable Medical Equipment & Medical Supplies | 17300 Chenal Pkwy Ste 130, Little Rock, AR 72223-5802 | 2020-02-13 |
1477185130 | Jarrad Johnson | Durable Medical Equipment & Medical Supplies | 3017 Glen Flora Way, Fort Smith, AR 72908-9307 | 2020-02-10 |
1720619224 | Sana Solutions | Durable Medical Equipment & Medical Supplies | 11719 Hinson Rd Ste Officeh, Little Rock, AR 72212-3402 | 2020-02-03 |
1205475902 | Davie Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 2705 Harrison St, Batesville, AR 72501-7428 | 2019-12-27 |
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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.