# COOPER CLINIC PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COOPER CLINIC PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508122250
- **Legal business name:** COOPER CLINIC PA
- **Authorized official:** MELISSA ASTIN (DIRECTOR, BUSINESS SERVICES)
- **Authorized official phone:** (479) 274-2000

## Contact information

- **Practice address:** 2000 E WOOD ST RM 1, PARIS, AR 72855-2621
- **Practice address phone:** (479) 963-1516
- **Practice address fax:** (479) 963-2643
- **Mailing address:** PO BOX 3528, FORT SMITH, AR 72913-3528
- **Mailing address phone:** (479) 274-2000
- **Mailing address fax:** (479) 274-2194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2012
- **Last updated:** 09/01/2015