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Willis Clinic

Primary Care Clinic/Center in Osceola, AR · enumerated 2007 · authorized official Timothy Willis, Coo/Practice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063619567

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Registry record

Entity type Organization (Type 2)
Legal business name Willis Clinic
Other name <Unavail>
Practice address 616 W Lee Ave, Osceola, AR, 72370
Phone (870) 563-2545
Fax (870) 563-2482
Enumeration date Jun 28, 2007
Last updated in NPPES Jan 20, 2021

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License E5031 (AR) Primary

Authorized official

Name Timothy Willis
Title Coo/Practice Manager
Phone (870) 563-2545

Other identifiers

Identifier Type State Issuer
165422001 Medicaid AR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Willis Clinic?
NPPES lists Timothy Willis (Coo/Practice Manager) as the authorized official for this organization.
What is the NPI number for Willis Clinic?
The NPI for Willis Clinic is 1063619567, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-01-20.