| East Arkansas Family Health Center Inc. | |
|
801 Deadrick Rd Forrest City AR 72335-1832 | |
| (870) 735-3842 | |
| Not Available |
| Full Name | East Arkansas Family Health Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 Deadrick Rd, Forrest City, Arkansas |
| Authorized Official Name and Position | Susan Ward-jones (CFO) |
| Authorized Official Contact | 8707336300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Arkansas Family Health Center Inc. 900 N 7th St West Memphis AR 72301-2001 Ph: (870) 733-6388 | East Arkansas Family Health Center Inc. 801 Deadrick Rd Forrest City AR 72335-1832 Ph: (870) 735-3842 |
| NPI Number | 1518650027 |
|---|---|
| Provider Enumeration Date | 05/31/2023 |
| Last Update Date | 05/31/2023 |
| Medicare PECOS PAC ID | 1052390390 |
|---|---|
| Medicare Enrollment ID | O20230628001512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518650027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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