NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC (NPI# 1639400807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639400807 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC |
| Other Organization Name | NEA BAPTIST CLINIC CHEROKEE VILLAGE |
| Practice Address |
51 Choctaw Trce Cherokee Village AR 72529-2702 |
| Mailing Address |
Po Box 1960 Jonesboro AR 72403-1960 |
| Practice Telephone | 8708562862 |
| Practice Fax Number | 8708562865 |
| Mailing Telephone | 8709345101 |
| Mailing Fax Number | 8709323608 |
| Enumeration Date | 2010-01-27 |
| 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 CHEROKEE VILLAGE | 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 |
| 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 |
51 CHOCTAW TRCE |
| City | CHEROKEE VILLAGE |
| State | AR |
| Zip Code | 72529-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861032963 | David Gregory | Physical Therapy Assistant | Therapy Works, Inc., 31 Choctaw Center, Cherokee Village, AR 72529 | 2020-01-07 |
| 1578970315 | Jennifer Lindsey Jones | Specialist/Technologist | 1 Hictochee Trace, Cherokee Village, AR 72529 | 2014-07-14 |
| 1619301512 | Cindy Cox | Case Manager/Care Coordinator | 4 E Village Mall, Cherokee Village, AR 72529 | 2013-08-27 |
| 1659616498 | Shannon M Harris | Case Manager/Care Coordinator | 4 East Village Mall, Cherokee Village, AR 72529 | 2012-12-05 |
| 1295030815 | Urban Medical Clinic | General Practice | 1 West Cherokee Village Mall #12, Cherokee Village, AR 72529 | 2011-01-12 |
| 1225331333 | Shyronn Dee Crider | Case Manager/Care Coordinator | 4 E. Cherokee Village Mall, Cherokee Village, AR 72529 | 2010-12-10 |
| 1588894299 | Samantha Sandridge | Case Manager/Care Coordinator | 4 Cherokee Village Mall, E, Cherokee Village, AR 72529 | 2009-07-16 |
| 1295977726 | Andrea Michelle Goodwin | Counselor | 4 E. Village Mall, Cherokee Village, AR 72529 | 2009-03-30 |
| 1245484617 | David Brittingham | Case Manager/Care Coordinator | 4 E Cherokee Village Mall, Cherokee Village, AR 72529 | 2008-11-11 |
| 1164687687 | Nicole Skidmore | Case Manager/Care Coordinator | #4 E. Cherokee Village Mall, Cherokee Village, AR 72529 | 2008-07-24 |
| Find all providers in zip 72529 | ||||
| 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 |
|---|---|---|---|---|
| 1477580694 | Ozark Medical Equipment | Durable Medical Equipment & Medical Supplies | 23 Choctaw Trace, Cherokee Village, AR 72529-0000 | 2006-06-26 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CHEROKEE VILLAGE |
| Zip Code | 72529 |
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.