Clinton Branch | |
242 Shake Rag Rd Clinton AR 72031-6629 | |
(501) 551-3211 | |
Not Available |
Full Name | Clinton Branch |
---|---|
Speciality | Community/behavioral Health |
Location | 242 Shake Rag Rd, Clinton, Arkansas |
Authorized Official Name and Position | Rolando Garcia (CFO) |
Authorized Official Contact | 5013153344 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clinton Branch Po Box 1589 Benton AR 72018-1589 Ph: (501) 315-3344 | Clinton Branch 242 Shake Rag Rd Clinton AR 72031-6629 Ph: (501) 551-3211 |
NPI Number | 1629228606 |
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Provider Enumeration Date | 09/25/2008 |
Last Update Date | 04/15/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629228606 | NPI | - | NPPES |
116374726 | Medicaid | AR | |
137483726 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Arkansas) | Primary |
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Health Resources Of Arkansas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2526 Highway 65 S, Ste 202, Clinton, AR 72031 Phone: 870-793-8900 Fax: 870-793-8959 | |
Community Service Inc. - Clinton Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Shake Rag Rd, Clinton, AR 72031 Phone: 501-745-2956 Fax: 501-745-6918 |