| |
805 Third St Horseshoe Bend AR 72512-3736 | |
(870) 670-5115 | |
(870) 670-4455 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 805 Third St, Horseshoe Bend, Arkansas |
Authorized Official Name and Position | Theodore Topolewski (ADMINISTRATOR) |
Authorized Official Contact | 8702972400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 438 Calico Rock AR 72519-0438 Ph: (870) 297-2449 | 805 Third St Horseshoe Bend AR 72512-3736 Ph: (870) 670-5115 |
NPI Number | 1972600187 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 09/04/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972600187 | NPI | - | NPPES |
5F645 | Other | AR | BCBS |
175236729 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | AR3931 (Arkansas) | Primary |