| Lawence County Family Clinic, P.a .,rural Health Clinic | |
|
1210 W Main St Walnut Ridge AR 72476-1005 | |
| (870) 886-3543 | |
| (870) 886-3252 |
| Full Name | Lawence County Family Clinic, P.a .,rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1210 W Main St, Walnut Ridge, Arkansas |
| Authorized Official Name and Position | Anita B Marlin (INSURANCE CLERK) |
| Authorized Official Contact | 8708863543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawence County Family Clinic, P.a .,rural Health Clinic Po Box 719 Walnut Ridge AR 72476-0719 Ph: (870) 886-3543 | Lawence County Family Clinic, P.a .,rural Health Clinic 1210 W Main St Walnut Ridge AR 72476-1005 Ph: (870) 886-3543 |
| NPI Number | 1740317452 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 05/15/2014 |
| Medicare PECOS PAC ID | 1557347572 |
|---|---|
| Medicare Enrollment ID | O20100330000701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740317452 | NPI | - | NPPES |
| 128549729 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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