Organization · Type 2 NPI

Northeast Arkansas Clinic Charitable Foundation, Inc.

Oncology Clinic/Center · Jonesboro, AR

NPI number 1912328428 Active

Practice location

4808 E Johnson Ave
Jonesboro, AR 72401-8413

Call (870) 936-8000 Map

Fax (870) 932-3608

Mailing address

PO Box 1960
Jonesboro, AR 72403-1960

Specialties and licenses

Taxonomy	Code	License
Oncology Clinic/Center Primary	261QX0200X	None listed

Oncology Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.

2 other providers at this address

NPI record

NPI: 1912328428
Entity type: Organization (Type 2)
Issued: Dec 31, 2013
Last updated: Sep 29, 2020
Status: Active

Other names

<unavail>
Fowler Family Center for Cancer Care · doing business as
Fowler Family Center for Cancer Care · doing business as

Authorized official

Mr. Gregory M. Duckett
Sr. VP / Corporate Secretary
(901) 227-5233

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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 1912328428

Northeast Arkansas Clinic Charitable Foundation, Inc.'s National Provider Identifier is 1912328428, issued on Dec 31, 2013. The primary taxonomy on file is Oncology Clinic/Center (261QX0200X), and the practice location is in Jonesboro, AR. The record was last updated on Sep 29, 2020.