Northeast Arkansas Clinic, P.a.

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

NORTHEAST ARKANSAS CLINIC, P.A.

Practice address

1118 Windover Rd
Jonesboro, AR 72401-6038

Phone

(870) 336-4145

Fax

(870) 336-4148

NPI assigned

Dec 3, 2008

Last updated

Dec 3, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTHEAST ARKANSAS CLINIC, P.A.As reported in NPPES

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

Authorized official

Name

Mr. Darrell King

Title

Coo

Phone

(870) 934-5140

Specialties & licenses 1

Addresses

Other names 1

• NEA Clinic-Center for Sleep Disorders Other name

Tax ID family

Northeast Arkansas Clin3 organizations share this tax ID, including this one

Part of

Northeast Arkansas Clin

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Nea Clinic Imaging Center

  • Body Imaging Physician
  • Jonesboro, AR
  • NPI 1932255486
  NPD tax ID
• Northeast Ark Int Med C

  • Clinical Medical Laboratory
  • Jonesboro, AR
  • NPI 1992992085
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Northeast Arkansas Clinic, P.a.

  dba NEA Clinic Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jonesboro, AR
  • NPI 1851352991
  NPPES parent name

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1588809792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1960",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724031960",
            "telephone_number": "870-934-5140",
            "fax_number": "870-932-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 WINDOVER RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016038",
            "telephone_number": "870-336-4145",
            "fax_number": "870-336-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ARKANSAS CLINIC, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHEAST ARKANSAS CLINIC, P.A.",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "870-934-5140",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEA Clinic-Center for Sleep Disorders",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Northeast Arkansas Clinic Charitable Foundation, Inc. (NEA Baptist Clinic Center for Sleep Disorders)
• Northeast Arkansas Clinic Charitable Foundation, Inc. (NEA Baptist Clinic)
• Northeast Arkansas Clinic Charitable Foundation, Inc. (NEA Baptist Clinic)
• Northeast Arkansas Clinic Charitable Foundation, Inc. (Fowler Family Center for Cancer Care)
• Northeast Arkansas Clinic Charitable Foundation, Inc. (NEA Baptist Clinic Anesthesia)
• Northeast Arkansas Clinic, P.a. (NEA Clinic Dialysis Center)
• Northeast Arkansas Clinic, PA (NEA Clinic)
• Northeast Arkansas Community Mental Health Center Inc (Mid-South Health Systems Inc)
• Northeast Arkansas Community Mental Health Center Inc (Mid South Systems)
• Northeast Arkansas Community Mental Health Center Inc (Midsouth Health Systems)

• Sleep Disorder Diagnostic Clinic/Center in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Sleep Disorder Diagnostic Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.