NPIMap

Organization Active NPI

University of Arkansas for Medical Sciences

Doing business as UAMS Family Medical Clinic-Magnolia

  • Clinic/Center
  • Magnolia, AR
National Provider Identifier
1841557725
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Doing business as
UAMS Family Medical Clinic-Magnolia
Practice address
104 E Columbia
Magnolia, AR 71753-2436
Phone
(870) 862-2489
NPI assigned
Apr 18, 2012
Last updated
Apr 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Ms. Melony Goodhand, JD,CPS, MS
Title
Vice Chancellor for Finance and Cfo
Phone
(501) 686-5671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AR Primary

Addresses

Primary practice location

104 E Columbia
Magnolia, AR 71753-2436

Mailing address

4301 West Markham Street., Slot# 599
Little Rock, AR 72205-7199
Phone (501) 686-5264

Other names 1

  • UAMS Family Medical Clinic-Magnolia Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4301 W Markham St
#599
Little Rock, AR 72205

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1841557725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 WEST MARKHAM STREET., SLOT# 599",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057199",
            "telephone_number": "501-686-5264",
            "fax_number": "501-686-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E COLUMBIA",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532436",
            "telephone_number": "870-862-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "GOODHAND",
        "authorized_official_first_name": "MELONY",
        "authorized_official_title_or_position": "VICE CHANCELLOR FOR FINANCE AND CFO",
        "authorized_official_telephone_number": "501-686-5671",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "JD,CPS, MS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UAMS Family Medical Clinic-Magnolia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Magnolia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.