Elaine Medical Clinic | |
112 Main Street Elaine AR 72333 | |
(870) 827-3250 | |
(870) 827-3296 |
Full Name | Elaine Medical Clinic |
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Speciality | Clinic/center - Rural Health |
Location | 112 Main Street, Elaine, Arkansas |
Authorized Official Name and Position | William S Winston (OWNER/DIRECTOR) |
Authorized Official Contact | 8708273250 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elaine Medical Clinic Po Box 717 Elaine AR 72333-0717 Ph: (870) 827-3250 | Elaine Medical Clinic 112 Main Street Elaine AR 72333 Ph: (870) 827-3250 |
NPI Number | 1427044627 |
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Provider Enumeration Date | 09/22/2005 |
Last Update Date | 05/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427044627 | NPI | - | NPPES |
128762729 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |