The Clinic for Children, Youth and Young Adults

Primary specialty

Pediatric Hospice and Palliative Medicine PhysicianTaxonomy code 2080H0002X

License

C5391 Issued in AR

Legal business name

THE CLINIC FOR CHILDREN, YOUTH AND YOUNG ADULTS

Practice address

820 Main St S
Hope, AR 71801

Phone

(870) 777-7581

Fax

(870) 777-4625

NPI assigned

Apr 27, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Craig Davis, M.D.NPI 1780688309

Title

Owner

Phone

(870) 777-7581

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Ronald Craig Davis, M.S.

  • Specialist
  • Hope, AR
  • NPI 1780688309
  NPD (past) Authorized official

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205056595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 785",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718020785",
            "telephone_number": "870-777-7581",
            "fax_number": "870-777-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 MAIN ST S",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "71801",
            "telephone_number": "870-777-7581",
            "fax_number": "870-777-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLINIC FOR CHILDREN, YOUTH AND YOUNG ADULTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-777-7581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080H0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "AR",
            "license": "C5391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Lee Swender, PHD
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• Eatrice Thomas
• Tennelle O Thomas
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• Megan Toon, APRN
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• Pediatric Hospice and Palliative Medicine Physician in Hope, AR
• Providers in Hope, AR by specialty
• Pediatric Hospice and Palliative Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.