| Depaul Community Health Centers - Gould | |
|
407 South Gould Ave Gould AR 71643-0370 | |
| (870) 263-4317 | |
| (870) 263-4782 |
| Full Name | Depaul Community Health Centers - Gould |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 407 South Gould Ave, Gould, Arkansas |
| Authorized Official Name and Position | Laurie Jan Stephenson (DIRECTOR OF INTEGRATED SERVICES) |
| Authorized Official Contact | 8703823080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Depaul Community Health Centers - Gould Po Box 158 Dumas AR 71639-0158 Ph: (870) 382-3080 | Depaul Community Health Centers - Gould 407 South Gould Ave Gould AR 71643-0370 Ph: (870) 263-4317 |
| NPI Number | 1689775231 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 12/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689775231 | NPI | - | NPPES |
| 168848729 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Ascension Depaul Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 S Gould Ave, Gould, AR 71643 Phone: 870-263-4317 | |
Marillac Community Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 S Gould Ave, Gould, AR 71643 Phone: 870-382-3080 Fax: 870-263-4782 |