Northeast Arkansas Clinic, P.a.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

MC-2122 Issued in AR

Legal business name

NORTHEAST ARKANSAS CLINIC, P.A.

Doing business as

NEA Clinic Dialysis Center

Practice address

3005 Middlefield Dr
Jonesboro, AR 72401-7438

Phone

(870) 934-5705

Fax

(870) 972-1695

NPI assigned

Mar 29, 2006

Last updated

Aug 28, 2007By 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

Rodney Haynes

Title

Director Central Billing Office

Phone

(870) 934-5803

Specialties & licenses 1

Addresses

Other names 1

• NEA Clinic Dialysis Center Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Northeast Arkansas Clinic, P.a.

  • Sleep Disorder Diagnostic Clinic/Center
  • Jonesboro, AR
  • NPI 1588809792
  NPPES parent name

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1851352991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 MIDDLEFIELD DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017438",
            "telephone_number": "870-934-5705",
            "fax_number": "870-972-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 MIDDLEFIELD DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017438",
            "telephone_number": "870-934-5705",
            "fax_number": "870-972-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ARKANSAS CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "DIRECTOR CENTRAL BILLING OFFICE",
        "authorized_official_telephone_number": "870-934-5803"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "AR",
            "license": "MC-2122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEA Clinic Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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.
• 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)
• Northeast Arkansas Community Mental Health Center Inc (Mid-South Health Systems Inc)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.