Community Medical Clinic – Primary Care Clinic/Center

Key facts

NPI: 1659566719
Entity type: Organization (NPI type 2)
Primary specialty: Primary Care Clinic/Center 261QP2300X
License: F1104137 (AR)
Legal business name: COMMUNITY MEDICAL CLINIC
Practice address: 8 S Broadview St
Suites 5 & 6
Greenbrier, AR 72058-9601
Phone: (501) 581-0207
Fax: (501) 581-0209
NPI assigned: Sep 12, 2007
Organization subpart: No

Authorized official

Name: Carolyn Rebecca McCarley, APN
Title: Apn
Phone: (501) 581-0207

Practitioners 2

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

Carolyn R Smith, APN Family Nurse Practitioner · Bee Branch, AR · NPI 1750585063

NPD (past)
Wesley Ward, APN Family Nurse Practitioner · Conway, AR · NPI 1568661395

NPD (past)

National Provider Directory

Locations

8 S Broadview St
Greenbrier, AR 72058
Phone (501) 581-0207

8 S Broadview St
Ste 56
Greenbrier, AR 72058

8 S Broadview St
#5
Greenbrier, AR 72058
Phone (501) 581-0207

Interoperability endpoints

FHIR API: https://fhir4.healow.com/fhir/r4/JAEICA

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Primary Care Clinic/Center	261QP2300X	F1104137	AR	Yes

Addresses

Primary practice location

8 S Broadview St
Suites 5 & 6
Greenbrier, AR 72058-9601

Mailing address

8 S Broadview
Suites 5 & 6
Greenbrier, AR 72058-1169
Phone (501) 581-0207

Other providers in Greenbrier, AR

All providers in Greenbrier, AR · Primary 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 Sep 12, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.