Cowherd Family Medical Center, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COWHERD FAMILY MEDICAL CENTER, PA

Practice address

301 Southridge Blvd
Suite a
Heber Springs, AR 72543-8875

Phone

(501) 362-0500

Fax

(501) 362-0501

NPI assigned

Jun 4, 2006

Last updated

Sep 9, 2008By 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

Beth Clegg, CPC

Title

Coder/Billing Administrator

Phone

(501) 362-0500

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Jordan Blaire Kendrick, APRN

  • Family Nurse Practitioner
  • Clinton, AR
  • NPI 1841564895
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1780622241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1678",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725431678",
            "telephone_number": "501-362-0500",
            "fax_number": "501-362-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SOUTHRIDGE BLVD",
            "address_2": "SUITE A",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725438875",
            "telephone_number": "501-362-0500",
            "fax_number": "501-362-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWHERD FAMILY MEDICAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "CLEGG",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "CODER/BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "501-362-0500",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149835002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "DA1227",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conway County Community Service Inc.
• John Paul Cooper, MD
• Dean Cope
• Andrea Frances Copeland Harper
• Counseling Associates, Inc.
• Kristy Clinton Cowherd, MD
• Robert Mac Cowherd, MD/PHD
• Tania Crouch
• Louis S. Crow, DDS
• Brian J Cummings, LPC

• Family Medicine Physician in Heber Springs, AR
• Providers in Heber Springs, 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 Sep 9, 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.