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637 East Main St Melbourne AR 72556 | |
| (870) 972-4939 | |
| (870) 972-4911 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 637 East Main St, Melbourne, Arkansas |
| Authorized Official Name and Position | Carla Jones (OFFICE MANAGER) |
| Authorized Official Contact | 8709724000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2707 Browns Ln Jonesboro AR 72401-7213 Ph: (870) 972-4000 | 637 East Main St Melbourne AR 72556 Ph: (870) 972-4939 |
| NPI Number | 1790265593 |
|---|---|
| Provider Enumeration Date | 08/21/2018 |
| Last Update Date | 02/21/2020 |
| Certification Date | 02/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790265593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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