Active NPI
Willow Street Health Center, LTD
- Family Medicine Physician
- Harrison, AR
National Provider Identifier
1376529834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WILLOW STREET HEALTH CENTER, LTD
- Practice address
- 406 N Willow St
Harrison, AR 72601-3517 - Phone
- (870) 741-3252
- Fax
- (870) 741-3962
- NPI assigned
- Dec 16, 2005
- Last updated
- Sep 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Geoffrey Lawrence Dunaway, M.D.
- Title
- President
- Phone
- (870) 741-3252
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
406 N Willow St
Harrison, AR 72601-3517
Mailing address
406 N Willow St
Harrison, AR 72601-3517
Phone (870) 741-3252
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Harrison, AR
- NPI 1740266535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188950400000",
"number": "1376529834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 N WILLOW ST",
"city": "HARRISON",
"state": "AR",
"postal_code": "726013517",
"telephone_number": "870-741-3252",
"fax_number": "870-741-3962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 N WILLOW ST",
"city": "HARRISON",
"state": "AR",
"postal_code": "726013517",
"telephone_number": "870-741-3252",
"fax_number": "870-741-3962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLOW STREET HEALTH CENTER, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-16",
"last_updated": "2007-09-05",
"status": "A",
"authorized_official_last_name": "DUNAWAY",
"authorized_official_first_name": "GEOFFREY",
"authorized_official_middle_name": "LAWRENCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "870-741-3252",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrison, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.