Organization Name: | HOPE URGENT CARE PLLC |
NPI Number: | 1235456575 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LONNIE JOSEPH PARKER (OWNER) |
Mailing Address: | 820 S Main St Hope |
State: | AR US |
Postal Code: | 718016523 |
Phone Number: | 8707778353 |
Fax Number: | |
NPI Enumeration Date: | 04/27/2010 |
NPI Last Update Date: | 03/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | E1887 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |