Lee County Cooperative Clinic

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LEE COUNTY COOPERATIVE CLINIC

Practice address

530 Atkins Blvd
Marianna, AR 72360-2113

Phone

(870) 295-5225

Fax

(870) 295-6900

NPI assigned

Feb 13, 2007

Last updated

Mar 2, 2021By 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

Mrs. Carol J Weiland, RPH

Title

Pharmacist

Phone

(870) 298-4230

Specialties & licenses 1

Addresses

Tax ID family

Madison Satelite CL4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Lee County Cooperative Clinic

  dba Hughes Satellite Clinic

  • Federally Qualified Health Center (FQHC)
  • Hughes, AR
  • NPI 1134137219
  NPD tax ID
• Lee County Cooperative Clinic

  • Federally Qualified Health Center (FQHC)
  • Marianna, AR
  • NPI 1669480836
  NPD tax ID
• Lee County Cooperative Clinic

  • Dental Clinic/Center
  • Marianna, AR
  • NPI 1700034998
  NPD tax ID

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1851433858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 ATKINS BLVD",
            "city": "MARIANNA",
            "state": "AR",
            "postal_code": "723602113",
            "telephone_number": "870-295-5225",
            "fax_number": "870-295-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 ATKINS BLVD",
            "city": "MARIANNA",
            "state": "AR",
            "postal_code": "723602113",
            "telephone_number": "870-295-5225",
            "fax_number": "870-295-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE COUNTY COOPERATIVE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "WEILAND",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "870-298-4230",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids for the Future of Marianna, Inc.
• Kids for the Future, Inc.
• Kids for the Future, Inc.
• Lee County Cooperative Clinic
• Lee County Cooperative Clinic
• Lee County School District
• Shirleta Lee
• Abe Lovelace, LMSW
• Marianna Family Medicine Clinic PLLC
• Ashley McCoy, RN

• Community/Retail Pharmacy in Marianna, AR
• Providers in Marianna, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.