SUMNER R CULLOM M D P A (NPI# 1861609570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861609570 |
| Entity Type | Organization |
| Organization Name | SUMNER R CULLOM M D P A |
| Other Organization Name | CULLOM RURAL HEALTH CLINIC |
| Practice Address |
700 W Keiser Ave Osceola AR 72370-3506 |
| Mailing Address |
700 W Keiser Ave Osceola AR 72370-3500 |
| Practice Telephone | 8705636512 |
| Practice Fax Number | 8705635013 |
| Mailing Telephone | 8705636512 |
| Mailing Fax Number | 8705635013 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2010-04-14 |
| Authorized Official Name | DR. SUMNER R CULLOM (OWNER) |
| Authorized Official Telephone | 8705636512 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
C4583 | AR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | 5C697 | 01 |
| Other Name | Type Code |
|---|---|
| Cullom Rural Health Clinic | Doing Business As Name - Organization |
| Street Address |
700 W KEISER AVE |
| City | OSCEOLA |
| State | AR |
| Zip Code | 72370-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851867071 | Doctors Health Group, Inc | Family Medicine | 700 W Keiser Ave, Osceola, AR 72370-3506 | 2018-10-15 |
| 1336484252 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 700 W Keiser Ave, Osceola, AR 72370-3506 | 2012-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417411570 | Southern Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 922 West Kizer St., Osceola, AR 72370 | 2019-01-23 |
| 1831431733 | Shaquata Davis | Social Worker | 1487 West Keiser Ave. Suite 1, Osceola, AR 72370 | 2013-03-19 |
| 1821348855 | Mary Kathryn Campbell | Speech-Language Pathologist | 315 E Union, Osceola, AR 72370 | 2012-09-18 |
| 1518230697 | Nikki D Moore | Case Manager/Care Coordinator | 1487 West Keiser Ave Ste I, Osceola, AR 72370 | 2012-02-20 |
| 1134497845 | Tim Allen | Case Manager/Care Coordinator | 3201 W. Keiser Ave., Osceola, AR 72370 | 2011-12-08 |
| 1184929663 | Gail Renee Barger | Counselor | 3201 West Keiser, Osceola, AR 72370 | 2011-01-14 |
| 1134423833 | Donna Susan Richmond | Speech-Language Pathologist | 1866 S Hwy 77, Osceola, AR 72370 | 2011-01-10 |
| 1972807592 | Meredith Annette Harris | Case Manager/Care Coordinator | 3201 West Keiser Ave, Osceola, AR 72370 | 2010-12-23 |
| 1093018871 | Tabatha G Bingham | Case Manager/Care Coordinator | 3201 W. Keiser, Osceola, AR 72370 | 2010-12-16 |
| 1588974109 | Sheila Lynette Rumph | Case Manager/Care Coordinator | 1487 W. Keiser Ave. Suite 1, Osceola, AR 72370 | 2010-10-15 |
| Find all providers in zip 72370 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1598945867 | Community Memorial Hospital | Clinic/Center | 101 Giesler Dr, Osceola, MO 64776-6297 | 2007-11-05 |
| 1396827804 | St. Clair County Hospital District No. 1 | Clinic/Center | 855 Arduser Dr, Osceola, MO 64776-6278 | 2006-10-20 |
| 1073129755 | Mississippi County Hospital System | Clinic/Center | 602 W Union Ave Ste B, Osceola, AR 72370-3022 | 2020-09-18 |
| 1801394549 | Ladd Memorial Hospital | Clinic/Center | 2600 65th Ave, Osceola, WI 54020-4370 | 2018-01-29 |
| 1578961454 | Citizens Memorial Healthcare | Clinic/Center | 855 Arduser Dr, Osceola, MO 64776-6278 | 2014-12-09 |
| 1689973620 | Osceola Rural Health Clinic LLC | Clinic/Center | 101 Giesler Drive, Osceola, MO 64776-6297 | 2011-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634738 | Mississippi County Hospital System | Clinic/Center | 1521 N 10th St Ste G, Blytheville, AR 72315-1424 | 2020-09-18 |
| 1962015859 | Lansdell Family Clinic Pllc | Clinic/Center | 1124 Main Ave, Dierks, AR 71833-9421 | 2020-08-28 |
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1710465190 | Arcare | Clinic/Center | 3150 E. Heritage Parkway, Farmington, AR 72753 | 2018-07-30 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1316443807 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 1306 North Lincoln Avenue, Star City, AR 71667 | 2018-04-03 |
| 1124539648 | Access Medical Clinic Arkansas LLC | Clinic/Center | 1016 North Fourche Avenue, Perryville, AR 72126 | 2017-10-24 |
| 1174044697 | Bradley County Medical Center Rural Health Clinic | Clinic/Center | 304 East Central, Warren, AR 71671-0000 | 2017-07-06 |
| 1144755570 | Access Medical Clinic Arkansas LLC | Clinic/Center | 16723 Hwy 62, Garfield, AR 72732 | 2017-04-24 |
| 1568904480 | Bradley Bibb, Md Pllc | Clinic/Center | 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 | 2016-11-09 |
| 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.