NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC (NPI# 1790016855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790016855 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC |
| Other Organization Name | NEA BAPTIST CLINIC MATTHEWS |
| Practice Address |
311 E Matthews Ave Jonesboro AR 72401-3125 |
| Mailing Address |
350 N Humphreys Blvd Memphis TN 38120-2177 |
| Practice Telephone | 8709354150 |
| Practice Fax Number | 8709345219 |
| Mailing Telephone | 9012275233 |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | GREGORY M DUCKETT (SR VP/ CLO) |
| Authorized Official Telephone | 9012275233 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAPTIST MEMORIAL HEALTH CARE CORP. |
| 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 MATTHEWS | 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 |
311 E MATTHEWS AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-3125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992785802 | Amanda Ann Deel | Family Medicine | 311 E Matthews Ave, Jonesboro, AR 72401-3125 | 2006-01-18 |
| 1598387417 | Logan Bevill | Student in an Organized Health Care Education/Training Program | 311 E Matthews Ave, Jonesboro, AR 72401-3125 | 2020-05-13 |
| 1225659998 | Joshua Lindsey | Student in an Organized Health Care Education/Training Program | 311 E Matthews Ave, Jonesboro, AR 72401-3125 | 2020-05-04 |
| 1467071902 | Samuel D Stringfellow | Student in an Organized Health Care Education/Training Program | 311 E Matthews Ave, Jonesboro, AR 72401-3125 | 2020-04-14 |
| 1861021040 | Andrew Christopher Bryson | Student in an Organized Health Care Education/Training Program | 311 E Matthews Ave, Jonesboro, AR 72401-3125 | 2020-04-08 |
| 1023646734 | Harold Ray Pritchett IIi | Student in an Organized Health Care Education/Training Program | 311 E Matthews Ave, Jonesboro, AR 72401-3125 | 2020-03-29 |
| 1215564315 | Jeremy Jeffrey Cohen | Student in an Organized Health Care Education/Training Program | 311 E Matthews Ave, Jonesboro, AR 72401-3125 | 2020-03-26 |
| 1508493610 | Chesley Hardin Murphy | Student in an Organized Health Care Education/Training Program | 311 E Matthews Ave, Jonesboro, AR 72401-3125 | 2020-03-26 |
| 1659908614 | Bradley Reed | Student in an Organized Health Care Education/Training Program | 311 E Matthews Ave, Jonesboro, AR 72401-3125 | 2020-03-26 |
| 1912469362 | Emily Simon | Student in an Organized Health Care Education/Training Program | 311 E Matthews Ave, Jonesboro, AR 72401-3125 | 2019-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| 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 | ||||
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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.