Midsouth Health Systems | |
661 Addison Dr. Wynne AR 72396 | |
(870) 238-1135 | |
(870) 972-4911 |
Full Name | Midsouth Health Systems |
---|---|
Speciality | Community/behavioral Health |
Location | 661 Addison Dr., Wynne, Arkansas |
Authorized Official Name and Position | Carla Jones (OFFICE MANAGER) |
Authorized Official Contact | 8709724900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Midsouth Health Systems 2707 Browns Ln Jonesboro AR 72401-7213 Ph: (870) 972-4900 | Midsouth Health Systems 661 Addison Dr. Wynne AR 72396 Ph: (870) 238-1135 |
NPI Number | 1588957476 |
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Provider Enumeration Date | 05/25/2011 |
Last Update Date | 02/21/2020 |
Certification Date | 02/21/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588957476 | NPI | - | NPPES |
184184774 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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