| Conway County Community Service, Inc | |
|
200 Highway 43 E Ste 7 Harrison AR 72601-2166 | |
| (870) 280-3468 | |
| Not Available |
| Full Name | Conway County Community Service, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 200 Highway 43 E Ste 7, Harrison, Arkansas |
| Authorized Official Name and Position | Angela Lynn Wheat (PA/CREDENTIALING CLERK) |
| Authorized Official Contact | 5013544589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conway County Community Service, Inc Po Box 679 Morrilton AR 72110-0679 Ph: (501) 354-4589 | Conway County Community Service, Inc 200 Highway 43 E Ste 7 Harrison AR 72601-2166 Ph: (870) 280-3468 |
| NPI Number | 1780279513 |
|---|---|
| Provider Enumeration Date | 03/03/2021 |
| Last Update Date | 03/03/2021 |
| Certification Date | 03/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780279513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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