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Family Medicine Associates Of Blytheville PA

Family Medicine in Blytheville, AR. Organization (NPI-2).

NPI number1609934249
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1609934249
Entity type
Organization (NPI-2)
Legal business name
Family Medicine Associates Of Blytheville PA
Organization subpart
No
Enumeration date
Dec 5, 2006
Last updated
Aug 22, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

1521 N 10th St
Ste C
Blytheville, AR 72315-1405

Phone 870-762-5360 · Fax 870-762-2095

Mailing address

1521 North 10th Street
Ste C
Blytheville, AR 72315

Phone 870-762-5360 · Fax 870-762-2095

Authorized official

Richard L Hester
MD President
8707625362

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Blytheville, AR

All 17 Family Medicine Physician providers in Blytheville · All 465 providers in Blytheville

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