| Cooper Clinic, Pa | |
|
1801 E Main St Charleston AR 72933-9254 | |
| (479) 274-2000 | |
| Not Available |
| Full Name | Cooper Clinic, Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 1801 E Main St, Charleston, Arkansas |
| Authorized Official Name and Position | Curtis Ralston (CEO) |
| Authorized Official Contact | 4792742000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooper Clinic, Pa Po Box 3528 Fort Smith AR 72913-3528 Ph: (479) 274-2000 | Cooper Clinic, Pa 1801 E Main St Charleston AR 72933-9254 Ph: (479) 274-2000 |
| NPI Number | 1922014521 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 09/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922014521 | NPI | - | NPPES |
| 138674002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MC-0254 (Arkansas) | Primary |
Schmitz Family Practice And Rural Health, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1006 E Main St, Charleston, AR 72933 Phone: 479-965-7702 Fax: 479-965-2180 | |
Western Arkansas Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2617 E Main St, Charleston, AR 72933 Phone: 479-965-8888 Fax: 479-965-8889 | |
Cooper Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 E Main St, Charleston, AR 72933 Phone: 479-274-2000 Fax: 479-274-2194 |