Child & Youth Pediatric Day Clinic | |
18 County Road 458 Mountain Home AR 72653-8212 | |
(870) 425-5252 | |
(870) 425-5254 |
Full Name | Child & Youth Pediatric Day Clinic |
---|---|
Speciality | Day Training, Developmentally Disabled Services |
Location | 18 County Road 458, Mountain Home, Arkansas |
Authorized Official Name and Position | Holly Allgood (BILLING SPECIALIST) |
Authorized Official Contact | 8708190232 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Child & Youth Pediatric Day Clinic 3012 Turman Dr Jonesboro AR 72404-8998 Ph: (870) 819-0200 | Child & Youth Pediatric Day Clinic 18 County Road 458 Mountain Home AR 72653-8212 Ph: (870) 425-5252 |
NPI Number | 1952434326 |
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Provider Enumeration Date | 03/14/2007 |
Last Update Date | 04/12/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952434326 | NPI | - | NPPES |
160844742 | Medicaid | AR | |
160756724 | Medicaid | AR | |
160781526 | Medicaid | AR | |
5C363 | Other | AR | BCBS |
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