Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Arkansas Clinic Charitable Foundation, Inc

Organization Health Service Clinic/Center · NPI 1417721689

Northeast Arkansas Clinic Charitable Foundation, Inc is a Health Service Clinic/Center in Jonesboro, Arkansas. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone: (870) 936-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mobile Mammography Clinic/Center (primary) Taxonomy 261QR0207X
Health Service Clinic/Center Taxonomy 261QH0100X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Primary Care Clinic/Center Taxonomy 261QP2300X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1417721689
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Duckett — Sr Vp/Chief Legal Officer · (901) 227-5233
Other names Nea Baptist Mobile Health Unit
NPI enumeratedNovember 8, 2023
Last updated in NPPESNovember 8, 2023
Certification dateOctober 24, 2023
Mailing address350 N Humphreys Blvd, Memphis, TN 38120-2177

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