OrganizationActive
Southeast Clinic
NPI 1730117755 · Clinic/Center · Monticello, AR
Southeast Clinic is a Clinic/Center organization in Monticello, AR (NPI 1730117755).
Provider details
- NPI number
- 1730117755
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Holaday, Physician(870) 367-1413
- License
- E1635 (AR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
750 H L Ross Dr
Monticello, AR 71655-5705
Phone: (870) 367-1413
Fax: (870) 367-0012
Street-level locationGet directions
Mailing address
Po Box 1920
Monticello, AR 71657-1920
Other names (DBA / former)
- Doing business as
- Jefferson Management Services, Inc.d/B/A Southeast Clinic
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2020-08-22
Frequently asked questions
- What is Southeast Clinic's NPI number?
- Southeast Clinic's National Provider Identifier (NPI) is 1730117755, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Clinic?
- Southeast Clinic is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southeast Clinic located?
- Southeast Clinic's practice location on file with NPPES is 750 H L Ross Dr, Monticello, AR 71655-5705.
- What is Southeast Clinic's phone number?
- The practice phone number listed in the NPPES registry for Southeast Clinic is (870) 367-1413.
- Who is the authorized official for Southeast Clinic?
- The authorized official listed on Southeast Clinic's NPPES record is Lisa Holaday, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Clinic's NPI active?
- Yes — Southeast Clinic's NPI (1730117755) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.