Organization Active NPI

Rich Mountian Family Medical Clinic

  • Primary Care Clinic/Center
  • Mena, AR
National Provider Identifier
1477688554
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
R3577 Issued in AR
Legal business name
RICH MOUNTIAN FAMILY MEDICAL CLINIC
Practice address
209 Morrow St N
Mena, AR 71953-2514
Phone
(479) 394-4703
Fax
(479) 394-2126
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John Henry Finck, MDNPI 1043278914
Title
Manager
Phone
(479) 394-4703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X R3577 AR Primary

Addresses

Primary practice location

209 Morrow St N
Mena, AR 71953-2514

Mailing address

209 Morrow St N
Mena, AR 71953-2514
Phone (479) 394-4703

Other identifiers 1

IdentifierTypeStateIssuer
5B290OtherARBCBS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D0466061Rich Mountain Family Medical Clinic209 N Morrow St, Mena, AR 71953Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

209 Morrow St N
Mena, AR 71953
Phone (479) 394-0970

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1477688554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 MORROW ST N",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719532514",
            "telephone_number": "479-394-4703",
            "fax_number": "479-394-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MORROW ST N",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719532514",
            "telephone_number": "479-394-4703",
            "fax_number": "479-394-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICH MOUNTIAN FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "FINCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "479-394-4703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AR",
            "license": "R3577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5B290",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mena, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.