| Boston Mountain Rural Health Center Inc. | |
|
444 Hospital Dr Mountain Home AR 72653-2900 | |
| (870) 701-0238 | |
| Not Available |
| Full Name | Boston Mountain Rural Health Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 444 Hospital Dr, Mountain Home, 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. 444 Hospital Dr Mountain Home AR 72653-2900 Ph: (870) 701-0238 |
| NPI Number | 1427625995 |
|---|---|
| Provider Enumeration Date | 06/04/2021 |
| Last Update Date | 06/04/2021 |
| Medicare PECOS PAC ID | 3870401722 |
|---|---|
| Medicare Enrollment ID | O20210706003406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427625995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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