| Montgomery County Community Clinic | |
|
534 Luzerne St Mount Ida AR 71957-9449 | |
| (870) 867-4244 | |
| Not Available |
| Full Name | Montgomery County Community Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 534 Luzerne St, Mount Ida, Arkansas |
| Authorized Official Name and Position | Anthony Calandro (CEO) |
| Authorized Official Contact | 4794373449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery County Community Clinic Po Box 1848 Mena AR 71953-1841 Ph: (479) 437-3449 | Montgomery County Community Clinic 534 Luzerne St Mount Ida AR 71957-9449 Ph: (870) 867-4244 |
| NPI Number | 1275795056 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 01/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275795056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ronnie L Faulkner, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 Highway 270 E, Mount Ida, AR 71957 Phone: 870-867-3432 Fax: 870-867-3783 | |
D Michael Deruyter D D S Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3447 Highway 270 E, Mount Ida, AR 71957 Phone: 870-867-4110 Fax: 870-867-2207 |