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Contact Information

CATHOLIC HEALTH INITIATIVES -ST. VINCENT INTERFAITH CLINIC, INC
830 N CREEK DR
CONWAY, AR72032-4711
 Phone: 501-932-0559
 Fax: 501-932-0227
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CATHOLIC HEALTH INITIATIVES ST VINCENT INTERFAITH CLINIC INC · (Female)

NPI Number 1881612703
Status Active
Credentials
Entity Individual
Enumeration date 07/18/2006
Last updated 06/15/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR Medicaid 1510001631
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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