Community Service, Inc | |
1200 W Walnut St Ste B1100 Rogers AR 72756-3562 | |
(479) 278-7028 | |
(479) 278-2092 |
Full Name | Community Service, Inc |
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Speciality | Community/behavioral Health |
Location | 1200 W Walnut St Ste B1100, Rogers, 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 |
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Community Service, Inc Po Box 679 Morrilton AR 72110-0679 Ph: (501) 354-4589 | Community Service, Inc 1200 W Walnut St Ste B1100 Rogers AR 72756-3562 Ph: (479) 278-7028 |
NPI Number | 1851903157 |
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Provider Enumeration Date | 08/18/2020 |
Last Update Date | 03/03/2021 |
Certification Date | 03/03/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851903157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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