Healthstat Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HEALTHSTAT CLINIC

Practice address

401 W Capitol Ave
3Rd Floor
Little Rock, AR 72201-3421

Phone

(704) 529-6161

NPI assigned

Dec 2, 2010

Last updated

Dec 2, 2010By 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

Mr. Tucker McKay, NP

Title

VP of Clinic Operations

Phone

(704) 529-6161

Specialties & licenses 1

Addresses

Other names 1

• MedSite Health Management Former legal business name

Tax ID family

Healthstat Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medsite Health Management

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1750666798
  NPD tax ID

Locations

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1326340944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W CAPITOL AVE",
            "address_2": "3RD FLOOR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722013421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W CAPITOL AVE",
            "address_2": "3RD FLOOR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722013421",
            "telephone_number": "704-529-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSTAT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "TUCKER",
        "authorized_official_title_or_position": "VP OF CLINIC OPERATIONS",
        "authorized_official_telephone_number": "704-529-6161",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedSite Health Management",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Health Travel Transport of Central Arkansas
• Healthcare Pharmacy, Inc.
• Healthcare Pharmacy, Inc.
• Healthcare Pharmacy, Inc.
• Healthscope Benefits
• Healthstat Health Center Lexicon
• Healthstat Onsite Clinic Arkansas Children's Hospital
• Healthville PLLC
• Healthy Connections Incorporated
• Healthy Connections Incorporated

• Clinic/Center in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.