| Wacgc-rcf Clarksville | |
|
311 S Central St Clarksville AR 72830-3601 | |
| (479) 452-6650 | |
| Not Available |
| Full Name | Wacgc-rcf Clarksville |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 311 S Central St, Clarksville, 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-rcf Clarksville Po Box 11818 Fort Smith AR 72917-1818 Ph: (479) 452-6650 | Wacgc-rcf Clarksville 311 S Central St Clarksville AR 72830-3601 Ph: (479) 452-6650 |
| NPI Number | 1659905396 |
|---|---|
| Provider Enumeration Date | 03/02/2020 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659905396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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