Organization Active NPI

Scribner Family Practice Clinic, LLC

  • Clinic/Center
  • Salem, AR
National Provider Identifier
1134534027
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
E3933 Issued in AR
Legal business name
SCRIBNER FAMILY PRACTICE CLINIC, LLC
Practice address
115 Turner LN
Salem, AR 72576-5600
Phone
(870) 859-3238
NPI assigned
Jun 30, 2014
Last updated
Apr 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
John Scribner, M.D.NPI 1972672897
Title
Managing Employee
Phone
(870) 895-3238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X E3933 AR Primary

Addresses

Primary practice location

115 Turner LN
Salem, AR 72576-5600

Mailing address

PO Box 648
Salem, AR 72576-0648
Phone (870) 859-3238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141202000407 AR Part B Supplier - Clinic/Group Practice 4587986559 Receives reassigned benefits from 2 practitioners
Practice locations: Salem, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2082137Scribner Family Practice Clinic115 Turner Lane, Salem, AR 72576Certificate of waiverAug 6, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1134534027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 648",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "725760648",
            "telephone_number": "870-859-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 TURNER LN",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "725765600",
            "telephone_number": "870-859-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRIBNER FAMILY PRACTICE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "SCRIBNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "870-895-3238",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "E3933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.