MAYFLOWER FAMILY MEDICINE (NPI# 1790867257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790867257 |
| Entity Type | Organization |
| Organization Name | MAYFLOWER FAMILY MEDICINE |
| Practice Address |
587 Highway 365 Mayflower AR 72106 |
| Mailing Address |
Po Box 925 Mayflower AR 72106-0925 |
| Practice Telephone | 5014707413 |
| Practice Fax Number | 5014707415 |
| Mailing Telephone | 5014707413 |
| Mailing Fax Number | 5014707415 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS JANE A JACKSON (OFFICE MANAGER) |
| Authorized Official Telephone | 5014707413 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
587 HIGHWAY 365 |
| City | MAYFLOWER |
| State | AR |
| Zip Code | 72106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609878669 | Thomas O Beasley | Family Medicine | 587 Highway 365, Mayflower, AR 72106-9570 | 2005-06-02 |
| 1174847313 | Angela D Foster | Nurse Practitioner | 587 Highway 365, Mayflower, AR 72106-9570 | 2010-03-17 |
| 1033219753 | Shelly M Clifton | Nurse Practitioner | 587 Highway 365, Mayflower, AR 72106 | 2006-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306124 | Jbr Enterprises Inc | Pharmacy | 600 Hwy 365, Mayflower, AR 72106 | 2020-04-27 |
| 1285903955 | Melissa Wallace | Physical Therapist | 582 Hwy 365 Ste 3, Mayflower, AR 72106 | 2011-12-23 |
| 1790053502 | Freds Stores of Tennessee Inc. | Pharmacy | 652 Hwy 365, Mayflower, AR 72106 | 2011-12-07 |
| 1922136746 | My House, Inc. | Case Management | #760 Highway 365 South, Mayflower, AR 72106 | 2007-03-01 |
| 1407914583 | Mayflower School | Local Education Agency (LEA) | 18 Eagle Cir., Mayflower, AR 72106 | 2006-12-04 |
| 1407890577 | Erin R. Lewis | Physical Therapist | 4 Grove Street, Mayflower, AR 72106 | 2006-06-16 |
| 1902235302 | Jami Lynn Faulkner | Dietitian, Registered | 6 Ledrick Cir, Mayflower, AR 72106-8404 | 2013-11-06 |
| 1700194990 | John B Witherspoon Optometric Physician Ltd | Optometrist | 29 River Road Dr E, Mayflower, AR 72106-8409 | 2010-09-22 |
| 1780912444 | Margaret M Healy | Social Worker | 50 River Bend Rd, Mayflower, AR 72106-8415 | 2009-11-18 |
| 1598979908 | Denise M Clayton | Pharmacist | 11 River Bend Rd, Mayflower, AR 72106-8415 | 2007-05-09 |
| Find all providers in zip 72106 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1346848850 | Arkansas Premier Medical Clinic | Clinic/Center | 22461 I 30 Ste 402, Bryant, AR 72022-2383 | 2020-10-16 |
| 1659985570 | Premise Health of Arkansas Medical P A | Clinic/Center | 3307 N 2nd St, Rogers, AR 72756-0001 | 2020-09-08 |
| 1497376321 | Magnolia Regional Health System Inc | Clinic/Center | 1010 N Dudney Rd Ste C, Magnolia, AR 71753-2651 | 2020-05-01 |
| 1548892433 | Genesis Health and Wellness, Pllc | Clinic/Center | 110 N Hendrix St, Imboden, AR 72434-9077 | 2020-02-07 |
| 1700430386 | Kidspiration of Marion County | Clinic/Center | 81 Development Dr, Yellville, AR 72687-0662 | 2019-07-31 |
| 1891357455 | Pinnacle Health Partners Pllc | Clinic/Center | 17447 Highway 9, Benton, AR 72019-9223 | 2019-07-03 |
| 1083273007 | Diane K Bodemann Md Ltd | Clinic/Center | 256 Grandstaff Dr, Hot Springs, AR 71913-8789 | 2019-06-12 |
| 1265098552 | Community Family Medical LLC | Clinic/Center | 1139 North Highway 77, Marion, AR 72364-9027 | 2019-05-13 |
| 1174187132 | Arcare | Clinic/Center | 3800 Rogers Ave Ste 6, Fort Smith, AR 72903-3075 | 2019-04-25 |
| 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.