| Boston Mountain Rural Health Center Inc. | |
|
609 West Clark Street Jasper AR 72641-0130 | |
| (870) 429-5106 | |
| (870) 429-5108 |
| Full Name | Boston Mountain Rural Health Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 609 West Clark Street, Jasper, 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. 609 West Clark Street Jasper AR 72641-0130 Ph: (870) 429-5106 | Boston Mountain Rural Health Center Inc. 609 West Clark Street Jasper AR 72641-0130 Ph: (870) 429-5106 |
| NPI Number | 1609243674 |
|---|---|
| Provider Enumeration Date | 08/26/2015 |
| Last Update Date | 01/25/2019 |
| Medicare PECOS PAC ID | 3870401722 |
|---|---|
| Medicare Enrollment ID | O20160301002636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609243674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Arkansas) | Primary |
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