Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 715 E 9th St, Rector, Arkansas |
Authorized Official Name and Position | James L Magee (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8705983881 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
715 E 9th St Rector AR 72461-2705 Ph: (870) 595-3596 | 715 E 9th St Rector AR 72461-2705 Ph: (870) 595-3596 |
NPI Number | 1679564413 |
---|---|
Provider Enumeration Date | 11/01/2005 |
Last Update Date | 10/26/2023 |
Medicare PECOS PAC ID | 0345140448 |
---|---|
Medicare Enrollment ID | O20080429000908 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679564413 | NPI | - | NPPES |
146636729 | Medicaid | AR | |
595941501 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Arkansas) | Primary |