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Contact Information

FAITH AND FAMILY MEDICAL PROVIDERS PLLC
363 HIGHWAY 371 S
MAGNOLIA, AR71753-8960
 Phone: 573-202-4070
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Ambulatory Family Planning Facility

261QA0005X
 

Family Planning, Non-Surgical

261QF0050X
Indicates primary specialty

NPI Profile & details for FAITH AND FAMILY MEDICAL PROVIDERS PLLC

NPI # 1720723513
LBN Legal business name FAITH AND FAMILY MEDICAL PROVIDERS PLLC
Authorized official JACQUELYN BLADDICK - (HUMAN RESOURCES)
Entity Organization
Organization subpart 1 No
Enumeration date 05/05/2022
Last updated 07/11/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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