| Boston Mountain Rural Health Center Inc. | |
|
1125 Skyline Dr Conway AR 72032-2857 | |
| (870) 448-5733 | |
| (877) 370-4292 |
| Full Name | Boston Mountain Rural Health Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1125 Skyline Dr, Conway, 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. 1125 Skyline Dr Conway AR 72032-2857 Ph: (870) 448-5733 |
| NPI Number | 1831809490 |
|---|---|
| Provider Enumeration Date | 12/05/2022 |
| Last Update Date | 01/03/2023 |
| Medicare PECOS PAC ID | 3870401722 |
|---|---|
| Medicare Enrollment ID | O20230127001647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831809490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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