| Wacgc - Crawford Sats | |
|
2705 Oak Ln Van Buren AR 72956-4816 | |
| (479) 452-6650 | |
| (479) 785-9495 |
| Full Name | Wacgc - Crawford Sats |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2705 Oak Ln, Van Buren, Arkansas |
| Authorized Official Name and Position | Aaron L. 'rusti' Holwick (CEO) |
| Authorized Official Contact | 4794526650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wacgc - Crawford Sats Po Box 11818 Fort Smith AR 72917-1818 Ph: (479) 452-6650 | Wacgc - Crawford Sats 2705 Oak Ln Van Buren AR 72956-4816 Ph: (479) 452-6650 |
| NPI Number | 1023385358 |
|---|---|
| Provider Enumeration Date | 12/01/2011 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023385358 | NPI | - | NPPES |
| 188031744 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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