Caddo River Medical Clinic PLLC
Organization Active NPI Primary Care Clinic/Center · Glenwood, AR
NPI 1194644575 · NPPES record last updated Jul 10, 2026
Key facts
- NPI
- 1194644575
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- CADDO RIVER MEDICAL CLINIC PLLC
- Practice address
- 180 Highway 70 E Ste 11
Glenwood, AR 71943-8810 - Phone
- (870) 828-1151
- NPI assigned
- Jul 10, 2026
- Organization subpart
- No
Authorized official
- Name
- Rickey Edna Mack, APRN
- Title
- Owner
- Phone
- (870) 828-1151
Practitioners 1
-
Rickey Edna Mack, CNP
National Provider Directory
Locations
180 Highway 70 E
Ste 11
Glenwood, AR 71943
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
180 Highway 70 E Ste 11
Glenwood, AR 71943-8810
Mailing address
516 Highway 8 E
Glenwood, AR 71943-9222
Other providers in Glenwood, AR
- Sarah Elisabeth Blackmon
- Jaclyn Bowen
- Amanda Brown
- Bucks Pharmacy Inc
- Bucks Pharmacy Inc
- Alexus Caldwell
- Kayla Caldwell
- Justin Neil Carter
- Stacie Chancellor
- CHI St. Vincent Medical Group Hot Springs
All providers in Glenwood, AR · Primary Care Clinic/Center in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.