| Community Medical Center Clinic Of Melbourne | |
|
203 Tate Springs Rd Melbourne AR 72556-8237 | |
| (870) 368-1911 | |
| (870) 368-1910 |
| Full Name | Community Medical Center Clinic Of Melbourne |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 203 Tate Springs Rd, Melbourne, Arkansas |
| Authorized Official Name and Position | Ted Topolewski (ADMINISTRATOR) |
| Authorized Official Contact | 8702972400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Center Clinic Of Melbourne 203 Tate Springs Rd Melbourne AR 72556-8237 Ph: (870) 368-1911 | Community Medical Center Clinic Of Melbourne 203 Tate Springs Rd Melbourne AR 72556-8237 Ph: (870) 368-1911 |
| NPI Number | 1023065117 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 09/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023065117 | NPI | - | NPPES |
| 175237729 | Medicaid | AR | |
| 5B958 | Other | AR | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | AR3931 (Arkansas) | Primary |
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