Jrmc Senior Care | |
1100 E Poplar St Clarksville AR 72830-4419 | |
(479) 754-5454 | |
(479) 754-5311 |
Full Name | Jrmc Senior Care |
---|---|
Speciality | Psychiatric Unit |
Location | 1100 E Poplar St, Clarksville, Arkansas |
Authorized Official Name and Position | Robert Larry Morse (ADMINISTRATOR) |
Authorized Official Contact | 4797545454 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jrmc Senior Care Po Box 738 Clarksville AR 72830-0738 Ph: (479) 754-5454 | Jrmc Senior Care 1100 E Poplar St Clarksville AR 72830-4419 Ph: (479) 754-5454 |
NPI Number | 1265481337 |
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Provider Enumeration Date | 05/08/2006 |
Last Update Date | 11/13/2007 |
Medicare PECOS PAC ID | 1658360284 |
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Medicare Enrollment ID | O20061221000045 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265481337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (Arkansas) | Primary |
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