NPIMap

Organization Active NPI

Cabot Healthcare Center, LLC

Doing business as Northside Healthcare, Quitman Healthcare, Quitman Healthcare

  • Family Medicine Physician
  • Austin, AR
National Provider Identifier
1255399424
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CABOT HEALTHCARE CENTER, LLC
Doing business as
Northside Healthcare, Quitman Healthcare, Quitman Healthcare
Practice address
3181 Highway 367 N
Austin, AR 72007-8003
Phone
(501) 941-1495
Fax
(501) 941-1496
NPI assigned
May 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jack Weir
Title
Ceo
Phone
(501) 941-1495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

3181 Highway 367 N
Austin, AR 72007-8003

Mailing address

PO Box 1313
Cabot, AR 72023-1313
Phone (501) 941-1495

Other identifiers 1

IdentifierTypeStateIssuer
0280000801OtherARGROUP

Other names 1

  • Northside Healthcare, Quitman Healthcare, Quitman Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

3181 Highway 367 N
Austin, AR 72007
Phone (501) 605-0439

Practitioners & affiliated clinicians

Practitioners 6

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": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255399424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1313",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720231313",
            "telephone_number": "501-941-1495",
            "fax_number": "501-941-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 HIGHWAY 367 N",
            "city": "AUSTIN",
            "state": "AR",
            "postal_code": "720078003",
            "telephone_number": "501-941-1495",
            "fax_number": "501-941-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABOT HEALTHCARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEIR",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-941-1495",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "0280000801",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northside Healthcare, Quitman Healthcare, Quitman Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, AR

Sources for this page

  • 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.