Active NPI
Madison County Imaging Center
- Radiology Clinic/Center
- Huntsville, AR
National Provider Identifier
1134438955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- MC-2791
- Legal business name
- MADISON COUNTY IMAGING CENTER
- Practice address
- 701 Phillips PL
Suite 1
Huntsville, AR 72740-6266 - Phone
- (479) 927-3100
- Fax
- (479) 927-3131
- NPI assigned
- Sep 28, 2010
- 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
- Mary White
- Title
- Office Manager
- Phone
- (479) 927-3100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | MC-2791 | AR | Primary |
Addresses
Primary practice location
701 Phillips PL
Suite 1
Huntsville, AR 72740-6266
Mailing address
PO Box 6220
Springdale, AR 72766-6220
Phone (479) 927-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5G469 | Other | AR | BCBS |
National Provider Directory
National Provider DirectoryLocations
701 Phillips Pl
#1
Huntsville, AR 72740
Phone (479) 738-1701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366243200000",
"number": "1134438955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6220",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727666220",
"telephone_number": "479-927-3100",
"fax_number": "479-927-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 PHILLIPS PL",
"address_2": "SUITE 1",
"city": "HUNTSVILLE",
"state": "AR",
"postal_code": "727406266",
"telephone_number": "479-927-3100",
"fax_number": "479-927-3131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADISON COUNTY IMAGING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-28",
"last_updated": "2013-04-18",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "479-927-3100"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "AR",
"license": "MC-2791",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5G469",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.