| Boston Mountain Rural Health Center, Inc | |
|
322 Dogwood Hollow Rd Mountain View AR 72560-8626 | |
| (999) 999-9999 | |
| (999) 999-9999 |
| Full Name | Boston Mountain Rural Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 322 Dogwood Hollow Rd, Mountain View, 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 322 Dogwood Hollow Rd Mountain View AR 72560-8626 Ph: (999) 999-9999 |
| NPI Number | 1982149662 |
|---|---|
| Provider Enumeration Date | 01/04/2017 |
| Last Update Date | 01/28/2019 |
| Medicare PECOS PAC ID | 3870401722 |
|---|---|
| Medicare Enrollment ID | O20170828000786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982149662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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