| Little Rock Community Health Center | |
|
1100 N University Ave Suite 125 Little Rock AR 72207-6343 | |
| (501) 663-0055 | |
| Not Available |
| Full Name | Little Rock Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 N University Ave, Little Rock, Arkansas |
| Authorized Official Name and Position | Chanda Evans-mcfield (CFO) |
| Authorized Official Contact | 8705365525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Rock Community Health Center Po Box 1285 Pine Bluff AR 71613-1285 Ph: (870) 543-2380 | Little Rock Community Health Center 1100 N University Ave Suite 125 Little Rock AR 72207-6343 Ph: (501) 663-0055 |
| NPI Number | 1194922849 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 10/03/2013 |
| Medicare PECOS PAC ID | 5193634509 |
|---|---|
| Medicare Enrollment ID | O20030304000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194922849 | NPI | - | NPPES |
| 150090749 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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