Metro Springdale Treatment Center, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

0602898 Issued in AR

Legal business name

METRO SPRINGDALE TREATMENT CENTER, INC

Practice address

1670 W Sunset Ave
Ste B
Springdale, AR 72762-5136

Phone

(479) 725-2555

Fax

(479) 725-2562

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Michael E Dickerson

Title

Ceo

Phone

(316) 200-4424

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lisa K McGraw, MD

  • Family Medicine Physician
  • Van Buren, AR
  • NPI 1972551901
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104841600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 W SUNSET AVE",
            "address_2": "STE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625136",
            "telephone_number": "479-725-2555",
            "fax_number": "479-725-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 W SUNSET AVE",
            "address_2": "STE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625136",
            "telephone_number": "479-725-2555",
            "fax_number": "479-725-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO SPRINGDALE TREATMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "316-200-4424"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "0602898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Renee Merrigan, PNP
• Jace Merritt, DPT
• Metheny Family Care Clinic Corp
• Leann W Metheny, DNP, FNP-BC, NP-C
• Metro Springdale Med Center Inc
• Alicia Meza
• Mga Healthcare Arkansas LLC
• Hannah Marie Mhoon, INTERN
• Sally Ann Micheli, LCSW
• Jared Middleton

• Clinic/Center in Springdale, AR
• Providers in Springdale, AR by specialty
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.