| Mountainburg Family Clinic | |
|
#4 Hwy 71 Ne Mountainburg AR 72946 | |
| (479) 369-2091 | |
| (479) 369-4119 |
| Full Name | Mountainburg Family Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | #4 Hwy 71 Ne, Mountainburg, Arkansas |
| Authorized Official Name and Position | Wayne King (ADMINISTRATOR) |
| Authorized Official Contact | 4794940009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountainburg Family Clinic 310 Towson Ave Fort Smith AR 72901-3831 Ph: (479) 494-0009 | Mountainburg Family Clinic #4 Hwy 71 Ne Mountainburg AR 72946 Ph: (479) 369-2091 |
| NPI Number | 1568471571 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 02/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568471571 | NPI | - | NPPES |
| 770245002 | Other | AR | ARKANSAS BREASTCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mountainburg Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: #4 Highway 71 Ne, Mountainburg, AR 72946 Phone: 479-369-2091 Fax: 479-369-4119 |