Organization · Type 2 NPI

Lee County Cooperative Clinic

Federally Qualified Health Center (FQHC) · Madison, AR

NPI number 1679581532 Active

Practice location

509 Jackson St
Madison, AR 72359

Call (870) 295-5225 Map

Fax (870) 295-6900

Mailing address

PO Box 669
Marianna, AR 72360-0669

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1679581532
Entity type: Organization (Type 2)
Issued: Aug 4, 2006
Last updated: Mar 11, 2021
Status: Active

Other names

<unavail>
Madison Satellite Clinic · doing business as
Madison Satellite Clinic · doing business as

Authorized official

Miss Ossie M Hall
Cashier Billing Supervisor
(870) 295-5225

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679581532

Lee County Cooperative Clinic's National Provider Identifier is 1679581532, issued on Aug 4, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Madison, AR. The record was last updated on Mar 11, 2021.