Ouachita County Medical Center
Organization Active NPI Emergency Care Clinic/Center · Camden, AR
NPI 1346354826 · NPPES record last updated Oct 18, 2007
Key facts
- NPI
- 1346354826
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Care Clinic/Center 261QE0002X
- Legal business name
- OUACHITA COUNTY MEDICAL CENTER
- Practice address
- 638 California Ave SW
Camden, AR 71701-4604 - Phone
- (870) 836-1387
- Fax
- (870) 836-1358
- NPI assigned
- Aug 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert Anders
- Title
- Cfo
- Phone
- (870) 836-1387
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 13
Practitioners 94
-
Shaletha Jones, M.D.
-
Madhulika Krish, MD
-
Dat Tuan Le, DO
-
Soren C Louvring, M.D.
-
Patrick Mbawuike, MD
-
Timothy Patrick McClure, M.D.
-
Ugochukwu Nwude, MD
-
Irfan Riaz Qureshi, M.D.
-
Kenneth Tiffany, DO
-
Cimenga M Tshibaka, M.D.
-
Nasir Zareen, M.D.
-
Muhammad Ahzam, MD
-
Deepak Goyal, MD
-
Joy Harrison, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080813000469 | AR | Part B Supplier - Clinic/Group Practice | 4587641055 |
Receives reassigned benefits from 94 practitioners 3 other NPIs on this enrollment Practice locations: Camden, AR |
National Provider Directory
- Tax ID family
- Ouachita County Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | AR | Yes |
Addresses
Primary practice location
638 California Ave SW
Camden, AR 71701-4604
Mailing address
PO Box 797
Camden, AR 71711-0797
Phone (870) 836-1338
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56871 | Other | AR | BLUE CROSS BLUE SHIELD |
Other providers in Camden, AR
- Ouachita County Medical Center
- Ouachita County Medical Center
- Ouachita County Medical Center
- Ouachita County Medical Center
- Ouachita County Medical Center
- Ouachita County Medical Center
- Ouachita County Medical Center
- Ouachita County Medical Center
- Ouachita County Medical Center
- Ouachita County Medical Center
All providers in Camden, AR · Emergency Care Clinic/Center in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.