Malvern Family Medical Clinic

LBN: Shawn Purifoy, M.D., P.A.
Malvern Family Medical Clinic is an health care organization with primary practice located at 850 Henry St , Malvern AR 72104-2712. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Shawn Purifoy, M.D., P.A. can be contacted via phone (501) 337-1836, or through Purifoy, Shawn via phone (501) 337-1836.

Contact Information

Primary practice address
850 Henry St Malvern AR 72104-2712
Phone: (501) 337-1836
Fax: (501) 337-7935
Website:
Map and Directions
Authorized official contact:
Name: Purifoy, Shawn Doctor of Medicine (MD)
Phone: (501) 337-1836

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E0603 Arkansas

Profile Details

NPI number 1295745933
LBN Legal business name Shawn Purifoy, M.D., P.A.
DBA Doing business as Malvern Family Medical Clinic
Authorized official Purifoy, Shawn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2006
Last updated Jun 13th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295745933 NPPES
Arkansas MEDICAID 160100002

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