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Contact Information

FORREST CITY CLINIC COMPANY LLC
1601 NEWCASTLE ROAD
FORREST CITY, AR72336
 Phone: 870-261-0000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for FORREST CITY CLINIC COMPANY LLC · (Female)

NPI Number 1821293051
Status Active
Credentials
Entity Individual
Enumeration date 06/18/2007
Last updated 01/19/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR Medicaid 166132002
  • AR Other 5F850 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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