LEE COUNTY COOPERATIVE CLINIC (NPI# 1679581532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679581532 |
| Entity Type | Organization |
| Organization Name | LEE COUNTY COOPERATIVE CLINIC |
| Other Organization Name | MADISON SATELLITE CLINIC |
| Practice Address |
530 Atkins Blvd Marianna AR 72360-2113 |
| Mailing Address |
Po Box 669 Marianna AR 72360-0669 |
| Practice Telephone | 8702955225 |
| Practice Fax Number | 8702956900 |
| Mailing Telephone | 8702955225 |
| Mailing Fax Number | 8702956900 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS OSSIE M HALL (CASHIER BILLING SUPERVISOR) |
| Authorized Official Telephone | 8702955225 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 125273749 | 05 |
| Other Name | Type Code |
|---|---|
| MADISON SATELLITE CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356359442 | Lee County Cooperative Clinic | Clinic/Center | 14264 Highway 44, Wabash, AR 72389 | 2006-08-04 |
| 1669480836 | Lee County Cooperative Clinic | Clinic/Center | 530 West Atkins Blvd, Marianna, AR 72360-2113 | 2006-08-04 |
| 1700034998 | Lee County Cooperative Clinic | Clinic/Center | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2008-09-03 |
| 1851433858 | Lee County Cooperative Clinic | Pharmacy | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2007-02-13 |
| 1134137219 | Lee County Cooperative Clinic | Clinic/Center | 503 S Broadway St, Hughes, AR 72348-9701 | 2006-08-04 |
| Street Address |
530 ATKINS BLVD |
| City | MARIANNA |
| State | AR |
| Zip Code | 72360-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447863147 | Brittany Mitchell | Dentist | 530 Atkins Blvd, Marianna, AR 72360-2198 | 2020-08-24 |
| 1033765490 | Keisha A. Fox | Nurse Practitioner | 530 Atkins Blvd, Marianna, AR 72360-2198 | 2019-08-12 |
| 1174981104 | Marlo S. Williams | Nurse Practitioner | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2016-02-04 |
| 1558767178 | Vanessa Jefferson | Nurse Practitioner | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2014-11-10 |
| 1235465303 | Yee L Yang | Dentist | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2009-10-26 |
| 1700034998 | Lee County Cooperative Clinic | Clinic/Center | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2008-09-03 |
| 1245491380 | Harry Andre Michel | Family Medicine | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2008-06-20 |
| 1346430980 | Linda F Collins | Family Medicine | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2007-07-30 |
| 1134257967 | Jacquolyn Jo Early | Nurse Practitioner | 530 Atkins Blvd, Marianna, AR 72360-2198 | 2007-03-01 |
| 1851433858 | Lee County Cooperative Clinic | Pharmacy | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255843306 | Hannah Michelle Byrd | Occupational Therapy Assistant | 3326 Hwy 1 South, Forrest City, AR 72360 | 2017-10-30 |
| 1114237369 | Don W. Ball, M.d. P,a. | General Practice | 154 Mulberry Street, Marianna, AR 72360 | 2010-10-20 |
| 1528234101 | Counseling Consultants | Clinic/Center | 199 Hwy 243, Marianna, AR 72360 | 2008-05-05 |
| 1467658435 | Requisha Denee Brooks | Home Health Aide | 218 E. Mlk Apt 1, Marianna, AR 72360 | 2007-06-26 |
| 1740310481 | Abe Lovelace | Social Worker | 63 N Carolina St, Marianna, AR 72360 | 2007-03-06 |
| 1932254653 | Alisia Skinner | Physical Therapy Assistant | 700 West Chestnut, Marianna, AR 72360 | 2007-01-24 |
| 1063577682 | James Wilson Jr. | Lodging | 1679 Highway 243 South, Marianna, AR 72360 | 2006-12-26 |
| 1073693701 | Marianna Family Medicine Clinic Pllc | Family Medicine | 29 West Tennessee Street, Marianna, AR 72360 | 2006-10-17 |
| 1467469718 | Jonathan Simmons | Optometrist | 219 W. Chestnut, Marianna, AR 72360 | 2006-08-01 |
| 1093093247 | Valentine C Emechete | Dentist | 530 West Atkins Blvd, Mrianna, AR 72360 | 2011-07-21 |
| Find all providers in zip 72360 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669480836 | Lee County Cooperative Clinic | Clinic/Center | 530 West Atkins Blvd, Marianna, AR 72360-2113 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962014316 | Healthy Connections, Inc. | Clinic/Center | 1306 W Collin Raye Dr Ste B, De Queen, AR 71832-2502 | 2020-08-18 |
| 1982221065 | Arcare | Clinic/Center | 7300 Dollarway Rd Ste 116, White Hall, AR 71602-3023 | 2020-07-06 |
| 1669099073 | St Francis House Nwa, Inc | Clinic/Center | 1923 W Pickens Road, Pea Ridge, AR 72751 | 2020-07-01 |
| 1427674696 | Arcare | Clinic/Center | 11520 Sr 27, Hector, AR 72843-8710 | 2020-06-23 |
| 1487280384 | Arcare | Clinic/Center | 2805 Mid Cities Dr Ste 1, Bentonville, AR 72712-4291 | 2020-03-23 |
| 1073144028 | Arcare | Clinic/Center | 145 N Curtis Ave, Pea Ridge, AR 72751-3407 | 2020-01-29 |
| 1396383758 | Mainline Health Systems Inc | Clinic/Center | 1012 E Church St Ste B, Warren, AR 71671-3530 | 2019-12-17 |
| 1275177883 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 1201 North Panther Ave # 3, Yellville, AR 72687 | 2019-11-06 |
| 1649814138 | St Francis House Nwa, Inc | Clinic/Center | 2328 Cardinal Drive, Springdale, AR 72764-4469 | 2019-10-29 |
| 1104469832 | Arcare | Clinic/Center | 501 Millwood Cir Ste E, Maumelle, AR 72113-6304 | 2019-10-25 |
| 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.