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503 S Broadway St Hughes AR 72348-9701 | |
(870) 295-5225 | |
(870) 295-6900 |
Full Name | |
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Speciality | Clinic/Center |
Location | 503 S Broadway St, Hughes, Arkansas |
Authorized Official Name and Position | Ossie M Hall (CASHIER./BILLING SUPERVISOR) |
Authorized Official Contact | 8702955225 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 669 Marianna AR 72360-0669 Ph: (870) 295-5225 | 503 S Broadway St Hughes AR 72348-9701 Ph: (870) 295-5225 |
NPI Number | 1134137219 |
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Provider Enumeration Date | 08/04/2006 |
Last Update Date | 03/02/2021 |
Medicare PECOS PAC ID | 8921917204 |
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Medicare Enrollment ID | O20030310000013 |
Identifier | Type | State | Issuer |
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1134137219 | NPI | - | NPPES |
149471749 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |