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#4 Hwy 71 Ne Mountainburg AR 72946 | |
(479) 369-2091 | |
(479) 369-4119 |
Full Name | |
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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 |
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310 Towson Ave Fort Smith AR 72901-3831 Ph: (479) 494-0009 | #4 Hwy 71 Ne Mountainburg AR 72946 Ph: (479) 369-2091 |
NPI Number | 1568471571 |
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Provider Enumeration Date | 08/07/2006 |
Last Update Date | 02/25/2009 |
Identifier | Type | State | Issuer |
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1568471571 | NPI | - | NPPES |
770245002 | Other | AR | ARKANSAS BREASTCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |