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675 Highway 62 E Ste 101 Mountain Home AR 72653-3207 | |
(870) 508-1095 | |
(870) 508-1998 |
Full Name | |
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Speciality | General Practice |
Location | 675 Highway 62 E Ste 101, Mountain Home, Arkansas |
Authorized Official Name and Position | Debra Henry (CFO) |
Authorized Official Contact | 8705081003 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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675 Highway 62 E Ste 101 Mountain Home AR 72653-3207 Ph: (870) 508-1095 | 675 Highway 62 E Ste 101 Mountain Home AR 72653-3207 Ph: (870) 508-1095 |
NPI Number | 1558691410 |
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Provider Enumeration Date | 12/28/2009 |
Last Update Date | 03/14/2023 |
Identifier | Type | State | Issuer |
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1558691410 | NPI | - | NPPES |
182455002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Regional Family Medicine Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 630 Burnett Dr, Mountain Home, AR 72653 Phone: 870-425-6971 Fax: 870-508-8900 | |
Yourpersonalmd.com Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S College St, Suite 3, Mountain Home, AR 72653 Phone: 870-424-9763 Fax: 870-424-9762 | |