Healthcare Provider Details

I. General information

NPI: 1326077801
Provider Name (Legal Business Name): MIKE S MCFARLAND MDPA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 08/28/2020
Certification Date: 08/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3604 CENTRAL AVE SUITE A
HOT SPRINGS AR
71913-6403
US

IV. Provider business mailing address

3604 CENTRAL AVE SUITE A
HOT SPRINGS AR
71913-6403
US

V. Phone/Fax

Practice location:
  • Phone: 870-536-4100
  • Fax: 870-534-3982
Mailing address:
  • Phone: 870-536-4100
  • Fax: 870-534-3982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMY OFFUTT
Title or Position: CONTROLLER
Credential:
Phone: 870-536-4100