OrganizationActive
Northeast Arkansas Clinic Charitable Foundation, Inc.
NPI 1417721689 · Mobile Mammography Clinic/Center · Jonesboro, AR
Provider details
- NPI number
- 1417721689
- Entity type
- Organization
- Primary specialty
- Mobile Mammography Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gregory Duckett, Sr Vp/Chief Legal Officer(901) 227-5233
Specialties & taxonomies
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone: (870) 936-8000
Approximate (ZIP-level) locationGet directions
Mailing address
350 N Humphreys Blvd
Memphis, TN 38120-2177
Other names (DBA / former)
- Doing business as
- Nea Baptist Mobile Health Unit
Registry dates
- Enumerated
- 2023-11-08
- Last updated
- 2023-11-08
- Certified
- 2023-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.