NPIMap

Organization Active NPI

JPC Medical Inc

Doing business as Hines Family Medicine

  • Family Medicine Physician
  • Paragould, AR
National Provider Identifier
1114974615
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E3472 Issued in AR
Legal business name
JPC MEDICAL INC
Doing business as
Hines Family Medicine
Practice address
1300 W. Court St.
Paragould, AR 72450-4247
Phone
(870) 236-4100
Fax
(870) 236-4122
NPI assigned
May 28, 2006
Last updated
Apr 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Authorized official

Name
Dr. John Raymond Hines, D.O.
Title
Ceo
Phone
(870) 236-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X E3472 AR Primary

Addresses

Primary practice location

1300 W. Court St.
Paragould, AR 72450-4247

Mailing address

1300 W. Court St.
Paragould, AR 72450-4247
Phone (870) 236-4100

Other names 1

  • HINES FAMILY MEDICINE Doing business as

National Provider Directory

National Provider Directory

Locations

1300 W Court St
Paragould, AR 72450
Phone (870) 236-4100

630 W Court St
Paragould, AR 72450
Phone (870) 236-6911

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1114974615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W. COURT ST.",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504247",
            "telephone_number": "870-236-4100",
            "fax_number": "870-236-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W. COURT ST.",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504247",
            "telephone_number": "870-236-4100",
            "fax_number": "870-236-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPC MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-236-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HINES FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.