Lansdell Family Clinic PLLC

Organization Active NPI Rural Health Clinic/Center · Dierks, AR

NPI 1962015859 · NPPES record last updated Sep 3, 2020

Key facts

NPI
1962015859
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
LANSDELL FAMILY CLINIC PLLC
Practice address
1124 Main Ave
Dierks, AR 71833-9421
Phone
(870) 286-2128
Fax
(870) 286-2148
NPI assigned
Aug 28, 2020
Organization subpart
Yes
Parent organization (as reported)
LANSDELL FAMILY CLINIC PLLC

Authorized official

Name
Michael Wayne Lansdell
Title
Clinic Adminstrator
Phone
(870) 584-1055

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

National Provider Directory

Part of
Lansdell Family Clinic PLLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

1124 Main Ave
Dierks, AR 71833-9421

Mailing address

500 E Collin Raye Dr Ste 2
De Queen, AR 71832-8068
Phone (870) 584-1053

Other providers in Dierks, AR

All providers in Dierks, AR · Rural Health Clinic/Center in Arkansas

Sources for this page

Verify at the official NPI Registry.