Ascension Depaul Services | |
407 S Gould Ave Gould AR 71643-5041 | |
(870) 263-4317 | |
Not Available |
Full Name | Ascension Depaul Services |
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Speciality | Clinic/center - Rural Health |
Location | 407 S Gould Ave, Gould, Arkansas |
Authorized Official Name and Position | Michael Griffin (PRESIDENT/CEO) |
Authorized Official Contact | 5042073060 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ascension Depaul Services Po Box 158 Dumas AR 71639-0158 Ph: () - | Ascension Depaul Services 407 S Gould Ave Gould AR 71643-5041 Ph: (870) 263-4317 |
NPI Number | 1225629819 |
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Provider Enumeration Date | 01/27/2021 |
Last Update Date | 01/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225629819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Depaul Community Health Centers - Gould Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 South Gould Ave, Gould, AR 71643 Phone: 870-263-4317 Fax: 870-263-4782 | |
Marillac Community Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 S Gould Ave, Gould, AR 71643 Phone: 870-382-3080 Fax: 870-263-4782 |