NPIMap

Organization Active NPI

Hollis Family Medical Clinic, PLC

  • Primary Care Clinic/Center
  • Paragould, AR
National Provider Identifier
1295986669
Registry record updated Dec 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
C7703 Issued in AR
Legal business name
HOLLIS FAMILY MEDICAL CLINIC, PLC
Practice address
400 Highway 49 N
Suite 2
Paragould, AR 72450-4007
Phone
(870) 236-1014
Fax
(870) 236-9669
NPI assigned
Oct 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2008

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

Authorized official

Name
Robin Lynette Hollis, LPN
Title
Office Manager
Phone
(870) 236-1014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X C7703 AR Primary

Addresses

Primary practice location

400 Highway 49 N
Suite 2
Paragould, AR 72450-4007

Mailing address

400 Highway 49 N
Suite 2
Paragould, AR 72450-4007
Phone (870) 236-1014

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230249600000",
    "number": "1295986669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HIGHWAY 49 N",
            "address_2": "SUITE 2",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504007",
            "telephone_number": "870-236-1014",
            "fax_number": "870-236-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HIGHWAY 49 N",
            "address_2": "SUITE 2",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504007",
            "telephone_number": "870-236-1014",
            "fax_number": "870-236-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIS FAMILY MEDICAL CLINIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-12-26",
        "status": "A",
        "authorized_official_last_name": "HOLLIS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-236-1014",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AR",
            "license": "C7703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2008; 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.