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1117 Mclain St Ste 300 Newport AR 72112-3551 | |
| (870) 495-1260 | |
| (870) 495-1262 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1117 Mclain St Ste 300, Newport, Arkansas |
| Authorized Official Name and Position | Cassie Pool (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5012788346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1117 Mclain St Ste 300 Newport AR 72112-3551 Ph: (870) 495-1260 | 1117 Mclain St Ste 300 Newport AR 72112-3551 Ph: (870) 495-1260 |
| NPI Number | 1164152815 |
|---|---|
| Provider Enumeration Date | 06/15/2022 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164152815 | NPI | - | NPPES |
| 288264002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Health Resources Of Arkansas, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1507 N Pecan St, Newport, AR 72112 Phone: 870-523-3643 Fax: 870-523-8224 | |