Pro-Care Family Health of Arkansas, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRO-CARE FAMILY HEALTH OF ARKANSAS, LLC

Practice address

706 Sherwood Ave
Bonanza, AR 72916-3420

Phone

(479) 255-6095

NPI assigned

May 10, 2018

Last updated

Jun 29, 2020By 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

Mr. Chris Dooly

Title

Member

Phone

(479) 414-5680

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1659861094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1278",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749531278",
            "telephone_number": "918-647-0670",
            "fax_number": "918-647-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 SHERWOOD AVE",
            "city": "BONANZA",
            "state": "AR",
            "postal_code": "729163420",
            "telephone_number": "479-255-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-CARE FAMILY HEALTH OF ARKANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "DOOLY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "479-414-5680",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth L Banda Aprn NP-C LLC
• Katie Elizabeth Cormier McBroom, PHARMD
• River Valley Primary Care Services (Bonanza Community Pharmacy)
• River Valley Primary Care Services (Bonanza Wellness Center)
• Brittney Beland Schmidt, DNP, NP-C
• William Justin Hayes MD PA

• Family Medicine Physician in Bonanza, AR
• Providers in Bonanza, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.