1952316390 NPI number — FARMINGTON FAMILY MEDICAL LLC

Table of content: (NPI 1952316390)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952316390 NPI number — FARMINGTON FAMILY MEDICAL LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FARMINGTON FAMILY MEDICAL LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952316390
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/10/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
199 E MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FARMINGTON
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72730-3077
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
479-267-1001
Provider Business Mailing Address Fax Number:
479-267-1026

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
199 E MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FARMINGTON
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72730-3077
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
479-267-1001
Provider Business Practice Location Address Fax Number:
479-267-1026
Provider Enumeration Date:
07/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ABDIN
Authorized Official First Name:
JAMAL
Authorized Official Middle Name:
ZIAD
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
479-267-1001

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  E3510 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 156125002 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".




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