Pioneer Medical Clinics PLLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PIONEER MEDICAL CLINICS PLLC

Practice address

1311 E Main St
Piggott, AR 72454-9400

Phone

(901) 603-6113

NPI assigned

Feb 1, 2022

Last updated

Feb 1, 2022By 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

Jeffery Blake Copeland

Title

Owner

Phone

(901) 603-6113

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1356094114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 E MAIN ST",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724549400",
            "telephone_number": "901-603-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 E MAIN ST",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724549400",
            "telephone_number": "901-603-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER MEDICAL CLINICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-603-6113"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piggott Community Hospital
• Piggott Community Hospital Ambulance
• Piggott Healthcare & Senior Living, LLC
• Piggott Pharmacy LLC (Piggott Pharmacy)
• Piggott Pharmacy LLC
• Pioneer Medical Clinics PLLC (Pioneer Medical Clinics)
• Progressive Eye Center of Piggott LLC
• Megan Rathel, CNP
• Caroline Ray
• Whitley Reagans

• Rural Health Clinic/Center in Piggott, AR
• Providers in Piggott, AR by specialty
• Rural Health Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.