| Mulberry Family Clinic | |
|
421 N. Main Street Mulberry AR 72947 | |
| (479) 997-1484 | |
| Not Available |
| Full Name | Mulberry Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 421 N. Main Street, Mulberry, Arkansas |
| Authorized Official Name and Position | Jerome White (C.E.O.) |
| Authorized Official Contact | 4794312057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mulberry Family Clinic Po Box 130 Ratcliff AR 72951-0130 Ph: (479) 635-5300 | Mulberry Family Clinic 421 N. Main Street Mulberry AR 72947 Ph: (479) 997-1484 |
| NPI Number | 1275766909 |
|---|---|
| Provider Enumeration Date | 08/28/2009 |
| Last Update Date | 03/08/2022 |
| Medicare PECOS PAC ID | 0042274276 |
|---|---|
| Medicare Enrollment ID | O20091118000575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275766909 | NPI | - | NPPES |
| 180401749 | Medicaid | AR | |
| 771108449 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mulberry Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 437 N Main St, Mulberry, AR 72947 Phone: 479-997-1484 Fax: 479-997-1494 |