Provider Demographics
NPI:1902150311
Name:HITT FAMILY HEALTHCARE, P.A.
Entity Type:Organization
Organization Name:HITT FAMILY HEALTHCARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:B
Authorized Official - Last Name:HITT
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:870-240-7472
Mailing Address - Street 1:1907 LINWOOD DR STE 3
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-6224
Mailing Address - Country:US
Mailing Address - Phone:870-240-7472
Mailing Address - Fax:
Practice Address - Street 1:07 LINWOOD DR STE 3
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-2250
Practice Address - Country:US
Practice Address - Phone:870-240-7472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR180630758Medicaid
AR5V386F557Medicare PIN