Healthcare Provider Details

I. General information

NPI: 1871527002
Provider Name (Legal Business Name): HARRISON MEDIQUICK PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 07/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 N SPRING STREET
HARRISON AR
72601
US

IV. Provider business mailing address

PO BOX 1496 724 N SPRING ST
HARRISON AR
72602
US

V. Phone/Fax

Practice location:
  • Phone: 870-741-2500
  • Fax: 870-741-7618
Mailing address:
  • Phone: 870-741-2500
  • Fax: 870-741-7618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GEORGE PATTERSON
Title or Position: CEO PRESIDENT
Credential: MD
Phone: 870-741-7612