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1205 Mclain St Newport AR 72112-3533 | |
(870) 523-8911 | |
Not Available |
Full Name | |
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Speciality | Psychiatric Unit |
Location | 1205 Mclain St, Newport, Arkansas |
Authorized Official Name and Position | Ladonna E Johnston (VP/ADMINISTRATOR) |
Authorized Official Contact | 8705123021 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1205 Mclain St Newport AR 72112-3533 Ph: (870) 523-8911 | 1205 Mclain St Newport AR 72112-3533 Ph: (870) 523-8911 |
NPI Number | 1477147700 |
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Provider Enumeration Date | 02/26/2021 |
Last Update Date | 01/30/2023 |
Certification Date | 01/30/2023 |
Medicare PECOS PAC ID | 2567870678 |
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Medicare Enrollment ID | O20220503001223 |
Identifier | Type | State | Issuer |
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1477147700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (* (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 |