# FORREST CITY CLINIC COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821293051
- **Authorized official:** LAURA J FEY (SR DIRECTOR PHYSICIAN PRACTICE REV)
- **Authorized official phone:** (615) 221-3641

## Contact information

- **Practice address:** 1601 NEWCASTLE ROAD, FORREST CITY, AR 72336
- **Practice address phone:** (870) 261-0000
- **Mailing address:** 1601 NEWCASTLE ROAD, FORREST CITY, AR 72336
- **Mailing address phone:** (870) 261-0000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 06/18/2007
- **Last updated:** 01/19/2022