| Boston Mountain Rural Health Center, Inc | |
|
110 Village Village Place Fairfield Bay AR 72088 | |
| (501) 884-6898 | |
| (501) 884-6831 |
| Full Name | Boston Mountain Rural Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 110 Village Village Place, Fairfield Bay, Arkansas |
| Authorized Official Name and Position | Melanie Campbell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8704485101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 110 Village Village Place Fairfield Bay AR 72088 Ph: (501) 884-6898 |
| NPI Number | 1255429726 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 03/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255429726 | NPI | - | NPPES |
| 5B477 | Other | AR | BLUE CROSS ARKANSAS GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ozark Medical Clinic - Fairfield Bay Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 383 Dave Creek Pkwy, Fairfield Bay, AR 72088 Phone: 501-745-3388 Fax: 501-745-3006 | |
Baptist Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Village Ln, Suite 2b, Fairfield Bay, AR 72088 Phone: 501-887-3212 |