Newport Branch | |
210 Third St Newport AR 72112-3302 | |
(870) 523-9496 | |
Not Available |
Full Name | Newport Branch |
---|---|
Speciality | Community/behavioral Health |
Location | 210 Third St, Newport, Arkansas |
Authorized Official Name and Position | Rolando Garcia (CFO) |
Authorized Official Contact | 5013153344 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Newport Branch Po Box 1589 Benton AR 72018-1589 Ph: (501) 315-3344 | Newport Branch 210 Third St Newport AR 72112-3302 Ph: (870) 523-9496 |
NPI Number | 1255581237 |
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Provider Enumeration Date | 09/25/2008 |
Last Update Date | 08/09/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255581237 | NPI | - | NPPES |
116374726 | Medicaid | AR | |
137480726 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Arkansas) | Primary |
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