Organization Active NPI

Madison County Imaging Center

  • Radiology Clinic/Center
  • Huntsville, AR
National Provider Identifier
1134438955
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
MC-2791 Issued in AR
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

Updated by the provider on Apr 18, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5G469OtherARBCBS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.