FIVE RIVERS MEDICAL CENTER INC (NPI# 1982157020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982157020 |
| Entity Type | Organization |
| Organization Name | FIVE RIVERS MEDICAL CENTER INC |
| Other Organization Name | FIVE RIVERS MEDICAL CLINIC |
| Practice Address |
2018 Highway 67 S Pocahontas AR 72455-4169 |
| Practice Telephone | 8702021048 |
| Mailing Telephone | 8702021048 |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2018-12-17 |
| Authorized Official Name | MATT NICHOLS (CFO) |
| Authorized Official Telephone | 8708926000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FIVE RIVERS MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Five Rivers Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831491554 | Five Rivers Medical Center Inc | Home Health | 304 W Marr, Pocahontas, AR 72455-2908 | 2010-12-01 |
| 1073019683 | Five Rivers Medical Center Inc | Orthopaedic Surgery | 310 Camp Rd, Pocahontas, AR 72455-9131 | 2018-04-03 |
| Street Address |
2018 HIGHWAY 67 S |
| City | POCAHONTAS |
| State | AR |
| Zip Code | 72455-4169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255598983 | Ashley Erin Taylor | Registered Nurse | 2018 Highway 67 S, Pocahontas, AR 72455 | 2008-05-20 |
| 1740765023 | Courtnay Loral Kincaid | Nurse Practitioner | 2018 Highway 67 S, Pocahontas, AR 72455-4169 | 2018-10-02 |
| 1790223709 | Kimberly Jane Buxton | Nurse Practitioner | 2018 Highway 67 S, Pocahontas, AR 72455-4169 | 2017-02-09 |
| 1518362227 | Amy Declerk | Nurse Practitioner | 2018 Highway 67 S, Pocahontas, AR 72455-4169 | 2014-10-24 |
| 1184903023 | Latoya Jean Coward | Nurse Practitioner | 2018 Highway 67 S, Pocahontas, AR 72455-4169 | 2011-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043694920 | Puckett Dental LLC | Clinic/Center | 1041 Highway 67 North, Pocahontas, AR 72455 | 2015-07-10 |
| 1659676443 | Higginbotham Therapy Providers LLC | Speech-Language Pathologist | 42 Helter Rd, Pocahontas, AR 72455 | 2011-01-25 |
| 1083846059 | Amber Dawn Hudson | Speech-Language Pathologist | 84 Woodland Hill Circle, Pocahontas, AR 72455 | 2009-08-10 |
| 1174752125 | Sara Jocelyn Hubbell | Developmental Therapist | 410 Camp Road, Pocahontas, AR 72455 | 2009-07-13 |
| 1730332511 | Holly T Brigance | Nurse Practitioner | 2901 Medical Center Drive, Pocahontas, AR 72455 | 2008-10-24 |
| 1740405661 | Leslie Marie Malone | Speech-Language Pathologist | 2300 North Park St., Pocahontas, AR 72455 | 2007-04-16 |
| 1942354808 | D Mike Mcdaniel | Audiologist | 153 Country Club Road, Pocahontas, AR 72455 | 2007-01-22 |
| 1366518615 | University of Arkansas for Medical Sciences | Pediatrics | 300 Camp Rd, Pocahontas, AR 72455 | 2006-11-28 |
| 1275623035 | Families, Inc. of Arkansas | Counselor | 2305 Old County Road, Pocahontas, AR 72455 | 2006-10-13 |
| 1841309879 | Family Dental Care of Pocahontas Inc | Dentist | 412 W Broadway, Pocahontas, AR 72455 | 2006-08-30 |
| Find all providers in zip 72455 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
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| 1679559777 | Trimark Physicians Group Inc | Clinic/Center | 608 Nw 7th St, Pocahontas, IA 50574-1000 | 2005-12-20 |
| 1053839795 | Trinity Regional Medical Center | Clinic/Center | 608 Nw 7th St, Pocahontas, IA 50574-1000 | 2017-09-01 |
| 1902350283 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 608 Nw 7th St, Pocahontas, IA 50574-1000 | 2016-08-04 |
| 1255600433 | Trimark Physicians Group | Clinic/Center | 608 Nw 7th St, Pocahontas, IA 50574-1000 | 2011-12-18 |
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|---|---|---|---|---|
| 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 | ||||
| City | POCAHONTAS |
| Zip Code | 72455 |
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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.