NPIMap

Organization Active NPI

River City Ministry of Pulaski County

  • Internal Medicine Physician
  • North Little Rock, AR
National Provider Identifier
1205247004
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C6822 Issued in AR
Legal business name
RIVER CITY MINISTRY OF PULASKI COUNTY
Practice address
1021 E Washington Ave
North Little Rock, AR 72114-5853
Phone
(501) 376-6694
Fax
(501) 376-6695
NPI assigned
May 14, 2014
Last updated
Nov 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Melanie Ware, A.P.N.NPI 1033134457
Title
Medical Manager
Phone
(501) 376-6694

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X M001021 AR
Internal Medicine Physician 207R00000X C6822 AR Primary

Addresses

Primary practice location

1021 E Washington Ave
North Little Rock, AR 72114-5853

Mailing address

1021 E Washington Ave
North Little Rock, AR 72114-5853
Phone (501) 376-6694

Other names 1

  • River City Medical Clinic Other name

National Provider Directory

National Provider Directory

Locations

1021 E Washington Ave
North Little Rock, AR 72114
Phone (501) 376-6694

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26991/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

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": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1205247004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 E WASHINGTON AVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145853",
            "telephone_number": "501-376-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 E WASHINGTON AVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145853",
            "telephone_number": "501-376-6694",
            "fax_number": "501-376-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY MINISTRY OF PULASKI COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "MEDICAL MANAGER",
        "authorized_official_telephone_number": "501-376-6694",
        "authorized_official_credential": "A.P.N."
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AR",
            "license": "M001021",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "C6822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River City Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.