# COLLOM & CARNEY CLINIC ASSOCIATION

> 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:** COLLOM & CARNEY CLINIC ASSOCIATION
- **Other names:** Collom and Carney Clinic Prescott Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740262732
- **Legal business name:** COLLOM & CARNEY CLINIC ASSOCIATION
- **Authorized official:** DANA MORTON N/A (DIRECTOR CONTRACTING CREDENTIALING)
- **Authorized official phone:** (903) 614-3283

## Contact information

- **Practice address:** 1440 W 1ST N, PRESCOTT, AR 71853
- **Practice address phone:** (870) 887-8001
- **Mailing address:** 5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
- **Mailing address phone:** (903) 614-3000
- **Mailing address fax:** (903) 614-3525

## Taxonomy

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

## Other

- **Enumeration date:** 11/16/2005
- **Last updated:** 06/10/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 149724002 | — | AR |
| 01 | — | CC9231 | RAILROAD MEDICARE | — |