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Collom & Carney Clinic Association

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Magnolia, AR · enumerated 2005 · authorized official Pat Roberts, Administrator.

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

National Provider Identifier

1134101108

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Registry record

Entity type Organization (Type 2)
Legal business name Collom & Carney Clinic Association
Other name <Unavail>
Practice address 225 N. Dudney Rd, Magnolia, AR, 71753
Phone (903) 614-3600
Fax (903) 792-0951
Enumeration date Nov 16, 2005
Last updated in NPPES Mar 23, 2010

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Pat Roberts
Title Administrator
Phone (903) 614-3601

Other identifiers

Identifier Type State Issuer
132402734 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

What is the NPI number for Collom & Carney Clinic Association?
The NPI for Collom & Carney Clinic Association is 1134101108, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Collom & Carney Clinic Association?
NPPES lists Pat Roberts (Administrator) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-03-23.