Eureka Walk in Clinic PA

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

EUREKA WALK IN CLINIC PA

Practice address

4052 E Van Buren Ste a
Eureka SPGS, AR 72632-9328

Phone

(479) 363-0100

Fax

(479) 363-0102

NPI assigned

Nov 7, 2006

Last updated

Sep 28, 2007By 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

Daniel Ray Jones, MDNPI 1568591238

Title

President

Phone

(479) 363-0100

Specialties & licenses 2

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.

• Daniel Ray Jones, M.D.

  • Family Medicine Physician
  • Eureka Springs, AR
  • NPI 1568591238
  Authorized official Same address or phone

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1346319068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4052 E VAN BUREN STE A",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726329328",
            "telephone_number": "479-363-0100",
            "fax_number": "479-363-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4052 E VAN BUREN STE A",
            "city": "EUREKA SPGS",
            "state": "AR",
            "postal_code": "726329328",
            "telephone_number": "479-363-0100",
            "fax_number": "479-363-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUREKA WALK IN CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-363-0100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.