Willis Clinic Express

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

WILLIS CLINIC EXPRESS

Practice address

616 W Lee Ave
Ste 2a
Osceola, AR 72370-3002

Phone

(870) 622-9212

Fax

(870) 576-4350

NPI assigned

Sep 16, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Timothy W Willis, MPA

Title

Managing Director

Phone

(870) 622-9212

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Willis Clinic

  • Primary Care Clinic/Center
  • Osceola, AR
  • NPI 1063619567

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1174959795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 W LEE AVE",
            "address_2": "STE 2A",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723703002",
            "telephone_number": "870-622-9212",
            "fax_number": "870-576-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 W LEE AVE",
            "address_2": "STE 2A",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723703002",
            "telephone_number": "870-622-9212",
            "fax_number": "870-576-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS CLINIC EXPRESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "870-622-9212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry Warren Whitis, DDS
• Monica L. Wilburn
• Libby Wilhite, RN
• Charles Williams Jr., MTTPP
• Willis Clinic
• Sherita D Willis, MD
• Anna Walker Willoughby, LAC
• Mark K Wilson, DDS
• Millie Diane Wimberley
• Linda Childers Wright

• Urgent Care Clinic/Center in Osceola, AR
• Providers in Osceola, AR by specialty
• Urgent Care Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.