Organization Active NPI

Eagle Heights Clinic, P.a.

  • Family Medicine Physician
  • Harrison, AR
National Provider Identifier
1972574846
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EAGLE HEIGHTS CLINIC, P.A.
Practice address
306 N Chestnut St
Harrison, AR 72601-4453
Phone
(870) 741-8559
Fax
(870) 741-8423
NPI assigned
Jan 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Marquette T Walker
Title
Office Administrator
Phone
(870) 741-8559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

306 N Chestnut St
Harrison, AR 72601-4453

Mailing address

PO Box 1497
Harrison, AR 72602-1497
Phone (870) 741-8559

Other identifiers 1

IdentifierTypeStateIssuer
57265OtherARBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972574846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1497",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726021497",
            "telephone_number": "870-741-8559",
            "fax_number": "870-741-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N CHESTNUT ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726014453",
            "telephone_number": "870-741-8559",
            "fax_number": "870-741-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE HEIGHTS CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MARQUETTE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "870-741-8559",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "57265",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.