| Boston Mountain Rural Health Center, Inc | |
|
1 Park Dr Suite C Holiday Island AR 72631-9216 | |
| (870) 448-5101 | |
| Not Available |
| Full Name | Boston Mountain Rural Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1 Park Dr, Holiday Island, Arkansas |
| Authorized Official Name and Position | Debbie Ackerson (CEO) |
| Authorized Official Contact | 8704485733 |
| 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 1 Park Dr Suite C Holiday Island AR 72631-9216 Ph: (870) 448-5101 |
| NPI Number | 1174064455 |
|---|---|
| Provider Enumeration Date | 03/20/2017 |
| Last Update Date | 01/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174064455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mercy Clinic-holiday Island Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Park Dr, Suite C, Holiday Island, AR 72631 Phone: 479-363-9174 Fax: 479-363-9175 |