Mcclintock Family Medicine

LBN: Mcclintock Family Medicine
Mcclintock Family Medicine is an health care organization with primary practice located at 306 N Chestnut St , Harrison AR 72601-4453. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mcclintock Family Medicine can be contacted via phone (870) 741-8559, or through Mcclintock, Jacob Nelson via phone (870) 741-8559.

Contact Information

Primary practice address
306 N Chestnut St Harrison AR 72601-4453
Fax: (870) 741-8423
Website:
Authorized official contact:
Name: Mcclintock, Jacob Nelson Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1952540387
LBN Legal business name Mcclintock Family Medicine
DBA Doing business as
Authorized official Mcclintock, Jacob Nelson Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2009
Last updated Oct 18th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952540387 NPPES
Arkansas MEDICAID 178239002

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