| Boston Mountain Rural Health Center Inc | |
|
1008 W Trimble Ave Berryville AR 72616-4618 | |
| (888) 912-6742 | |
| Not Available |
| Full Name | Boston Mountain Rural Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1008 W Trimble Ave, Berryville, Arkansas |
| Authorized Official Name and Position | Debbie Ackerson (CEO) |
| Authorized Official Contact | 8704485733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Mountain Rural Health Center Inc Po Box 1060 Marshall AR 72650-1060 Ph: (870) 448-5733 | Boston Mountain Rural Health Center Inc 1008 W Trimble Ave Berryville AR 72616-4618 Ph: (888) 912-6742 |
| NPI Number | 1932955853 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 04/30/2024 |
| Medicare PECOS PAC ID | 3870401722 |
|---|---|
| Medicare Enrollment ID | O20240521000682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932955853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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