| Boston Mountain Rural Health Center Inc | |
|
Hc 31 Box 310 Deer AR 72628 | |
| (870) 428-5391 | |
| (870) 428-5392 |
| Full Name | Boston Mountain Rural Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | Hc 31 Box 310, Deer, 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) 448-5101 | Boston Mountain Rural Health Center Inc Hc 31 Box 310 Deer AR 72628 Ph: (870) 428-5391 |
| NPI Number | 1932297405 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 01/25/2019 |
| Medicare PECOS PAC ID | 3870401722 |
|---|---|
| Medicare Enrollment ID | O20031024000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932297405 | NPI | - | NPPES |
| 5B477 | Other | AR | BLUE CROSS AR |
| DA1111 | Other | AR | RAILROAD MEDICARE GROUP |
| 150794749 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |