Cooper Clinic, Pa | |
201 S 7th St Ozark AR 72949-3131 | |
(479) 274-2000 | |
(479) 274-2194 |
Full Name | Cooper Clinic, Pa |
---|---|
Speciality | Clinic/center |
Location | 201 S 7th St, Ozark, 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 |
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Cooper Clinic, Pa Po Box 3528 Fort Smith AR 72913-3528 Ph: (479) 274-2000 | Cooper Clinic, Pa 201 S 7th St Ozark AR 72949-3131 Ph: (479) 274-2000 |
NPI Number | 1518989227 |
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Provider Enumeration Date | 07/24/2006 |
Last Update Date | 10/20/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518989227 | NPI | - | NPPES |
125293002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | MC-0254 (Arkansas) | Primary |
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