MMC Rural Health Clinics, PLLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MMC RURAL HEALTH CLINICS, PLLC

Practice address

201 Fairview Rd Ste a
Crossett, AR 71635-4537

Phone

(870) 364-0000

Fax

(870) 367-1461

NPI assigned

Jun 22, 2021

Organization subpart

No

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

Authorized official

Name

Darlene L Savage

Title

Manager

Phone

(870) 367-8226

Specialties & licenses 2

Addresses

Other names 1

• MMC Crossett Clinic Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1053980292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 ROBERTS DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555724",
            "telephone_number": "870-367-6867",
            "fax_number": "870-367-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FAIRVIEW RD STE A",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716354537",
            "telephone_number": "870-364-0000",
            "fax_number": "870-367-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMC RURAL HEALTH CLINICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "870-367-8226"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MMC",
            "affiliation": "N",
            "endpointDescription": "MMC Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "201 Fairview Rd Ste A",
            "city": "Crossett",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716354537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MMC Crossett Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MMC Crossett Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeremy Meshell, PTA
• Jaquario D Miles, CARE COORDINATOR
• Felita I Miller
• Milton Johnston DDS PC
• Robert Clay Milton Jr., DDS
• MMC Rural Health Clinics, PLLC
• Evon Moore, CASEWORKER
• Joey W Moore, LICENSED PRACTICAL N
• Michael Morgan
• Morrison Faith Therapy LLC

• Rural Health Clinic/Center in Crossett, AR
• Providers in Crossett, AR by specialty
• Rural Health Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.