Warren High School Behavioral Health Clinic | |
803 N Walnut St Warren AR 71671-2008 | |
(870) 226-6754 | |
(870) 226-7925 |
Full Name | Warren High School Behavioral Health Clinic |
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Speciality | Clinic/Center |
Location | 803 N Walnut St, Warren, Arkansas |
Authorized Official Name and Position | Gary Allan Nichols (CEO) |
Authorized Official Contact | 8709423000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Warren High School Behavioral Health Clinic Po Box 509 Dermott AR 71638-0509 Ph: (870) 942-3000 | Warren High School Behavioral Health Clinic 803 N Walnut St Warren AR 71671-2008 Ph: (870) 226-6754 |
NPI Number | 1215700265 |
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Provider Enumeration Date | 11/01/2023 |
Last Update Date | 09/19/2024 |
Certification Date | 09/19/2024 |
Medicare PECOS PAC ID | 5193785590 |
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Medicare Enrollment ID | O20231218003781 |
Identifier | Type | State | Issuer |
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1215700265 | NPI | - | NPPES |
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