Organization Active NPI

McGehee Family Clinic PA

  • Rural Health Clinic/Center
  • MC Gehee, AR
National Provider Identifier
1083678437
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
MC-0302 Issued in AR
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

Updated by the provider on Apr 9, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
124966729MedicaidAR
56862OtherARBLUE CROSS BLUE SHIELD
102089001MedicaidAR

National Provider Directory

National Provider Directory

Locations

601 Holly St
McGehee, AR 71654
Phone (501) 222-6131

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.