National Provider Identifier Database

COLLEGE PARK FAMILY CLINIC PA
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.


Contact Information

COLLEGE PARK FAMILY CLINIC PA
2511-A COLLEGE AVE
CONWAY, AR72034
Phone: 501-327-6041
Fax: 501-327-6043
Website:
Specialty Taxonomy Code
* Emergency Medicine 207P00000X
Family Medicine 207Q00000X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for COLLEGE PARK FAMILY CLINIC PA

NPI Number 1861478232
Legal business name
LBN
COLLEGE PARK FAMILY CLINIC PA
Authorized official GIL JOHNSON - (CEO PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/19/2005
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • AR License #: C6340
  • AR Other: 11451000000 QC

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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