NPIMap

Organization Active NPI

Mission Clinical Services

  • Family Medicine Physician
  • Hot Springs, AR
National Provider Identifier
1003883570
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MISSION CLINICAL SERVICES
Practice address
1 Mercy LN
Suite 405
Hot Springs, AR 71913-6442
Phone
(501) 622-1939
Fax
(501) 622-3993
NPI assigned
Mar 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mark Larey, D.O.NPI 1972563773
Title
Executive Director
Phone
(501) 622-1085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

1 Mercy LN
Suite 405
Hot Springs, AR 71913-6442

Mailing address

1 Mercy LN
Suite 405
Hot Springs, AR 71913-6442
Phone (501) 622-1939

Other identifiers 2

IdentifierTypeStateIssuer
152397002MedicaidAR
5C837OtherARAR BCBS PROV #

National Provider Directory

National Provider Directory

Locations

1018 Airport Rd
Ste 120
Hot Springs, AR 71913
Phone (501) 760-2788

1 Mercy Ln
Ste 405
Hot Springs National Park, AR 71913
Phone (501) 622-1939

5010 N Highway 7
Hot Springs Village, AR 71909
Phone (501) 624-0838

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1003883570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MERCY LN",
            "address_2": "SUITE 405",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136442",
            "telephone_number": "501-622-1939",
            "fax_number": "501-622-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCY LN",
            "address_2": "SUITE 405",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136442",
            "telephone_number": "501-622-1939",
            "fax_number": "501-622-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "LAREY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "501-622-1085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152397002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS PROV #",
            "identifier": "5C837",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.