| Cardinal Nation Healthcare, Llc | |
|
1889 Falcon Way Benton AR 72015-3115 | |
| (501) 326-4666 | |
| Not Available |
| Full Name | Cardinal Nation Healthcare, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1889 Falcon Way, Benton, Arkansas |
| Authorized Official Name and Position | Pamela Sue Jenkins (OWNER/LPN) |
| Authorized Official Contact | 5013264666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Nation Healthcare, Llc 1889 Falcon Way Benton AR 72015-3115 Ph: (501) 326-4666 | Cardinal Nation Healthcare, Llc 1889 Falcon Way Benton AR 72015-3115 Ph: (501) 326-4666 |
| NPI Number | 1962170894 |
|---|---|
| Provider Enumeration Date | 09/03/2021 |
| Last Update Date | 09/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962170894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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