OrganizationActive
Lavaca Family Clinic
NPI 1407024045 · Primary Care Clinic/Center · Lavaca, AR
Provider details
- NPI number
- 1407024045
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Boonville Community Hospital Inc
- Organization subpart
- Yes
- Authorized official
- Dzaidi Daud, Ceo(479) 675-2800
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 W Main St
Lavaca, AR 72941-3530
Phone: (479) 674-9181
Street-level locationGet directions
Mailing address
880 W Main St
Booneville, AR 72927-3420
Registry dates
- Enumerated
- 2008-02-18
- Last updated
- 2009-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.