NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC


Address: 1007 Windover, Ste B, Jonesboro, AR 72401
Phone: 8709326637

NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC (NPI# 1982935060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982935060
Entity Type Organization
Organization Name NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC
Other Organization Name NEA BAPTIST CLINIC ORTHOPAEDIC/PODIATRY
Practice Address 1007 Windover
Ste B
Jonesboro
AR 72401
Mailing Address Po Box 1960
Jonesboro
AR 72403-1960
Practice Telephone 8709326637
Practice Fax Number 8709343456
Mailing Telephone 8709345101
Mailing Fax Number 8709323608
Enumeration Date 2010-01-29
Last Update Date 2010-05-21
Authorized Official Name ERROL SCOT DAVIS (CFO)
Authorized Official Telephone 8709345107
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Provider/Organization Names

Other Name Type Code
NEA BAPTIST CLINIC ORTHOPAEDIC/PODIATRY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1083945166 Northeast Arkansas Clinic Charitable Foundation, Inc Durable Medical Equipment & Medical Supplies 416 E Washington Ave, Suite B, Jonesboro, AR 72401-3108 2010-01-29

Office Location

Street Address 1007 WINDOVER
STE B
City JONESBORO
State AR
Zip Code 72401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598749525 Doris Gail Williams Physical Therapist 1007 Windover, Jonesboro, AR 72401 2005-12-02

Providers in the same zip code

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 Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City JONESBORO
Zip Code 72401

Improve Information

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Dataset Information

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.

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