Active NPI
McGehee Family Clinic PA
- Rural Health Clinic/Center
- MC Gehee, AR
National Provider Identifier
1083678437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- MC-0302
- Legal business name
- MCGEHEE FAMILY CLINIC PA
- Practice address
- 601 Holly St
MC Gehee, AR 71654-2108 - Phone
- (870) 222-6131
- Fax
- (870) 222-5909
- NPI assigned
- Apr 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James E. Young
- Title
- M.D.
- Phone
- (870) 222-6131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | MC-0302 | AR | Primary |
Addresses
Primary practice location
601 Holly St
MC Gehee, AR 71654-2108
Mailing address
601 Holly St
MC Gehee, AR 71654-2108
Phone (870) 222-6131
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124966729 | Medicaid | AR | |
| 56862 | Other | AR | BLUE CROSS BLUE SHIELD |
| 102089001 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
601 Holly St
McGehee, AR 71654
Phone (501) 222-6131
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GFAIDD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270771200000",
"number": "1083678437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 HOLLY ST",
"city": "MC GEHEE",
"state": "AR",
"postal_code": "716542108",
"telephone_number": "870-222-6131",
"fax_number": "870-222-5909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 HOLLY ST",
"city": "MC GEHEE",
"state": "AR",
"postal_code": "716542108",
"telephone_number": "870-222-6131",
"fax_number": "870-222-5909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCGEHEE FAMILY CLINIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-13",
"last_updated": "2010-04-09",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "870-222-6131",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "AR",
"license": "MC-0302",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124966729",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "56862",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102089001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in MC Gehee, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.