| East Arkansas Family Health Center, Inc | |
|
301 W Polk Ave West Memphis AR 72301-4262 | |
| (870) 735-3842 | |
| Not Available |
| Full Name | East Arkansas Family Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 W Polk Ave, West Memphis, Arkansas |
| Authorized Official Name and Position | Susan W Ward-jones (CEO) |
| Authorized Official Contact | 8707336388 |
| 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) 735-3842 | East Arkansas Family Health Center, Inc 301 W Polk Ave West Memphis AR 72301-4262 Ph: (870) 735-3842 |
| NPI Number | 1033997275 |
|---|---|
| Provider Enumeration Date | 09/19/2023 |
| Last Update Date | 09/19/2023 |
| Medicare PECOS PAC ID | 1052390390 |
|---|---|
| Medicare Enrollment ID | O20230927000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033997275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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