| Opeh Hands Center | |
|
1225 Dr Martin Luther King Dr Little Rock AR 72202-4743 | |
| (501) 244-2121 | |
| (501) 244-2130 |
| Full Name | Opeh Hands Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1225 Dr Martin Luther King Dr, Little Rock, Arkansas |
| Authorized Official Name and Position | Larnell W Davis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8705432380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Opeh Hands Center Po Box 1285 Pine Bluff AR 71613-1285 Ph: (870) 543-2380 | Opeh Hands Center 1225 Dr Martin Luther King Dr Little Rock AR 72202-4743 Ph: (501) 244-2121 |
| NPI Number | 1689870065 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 07/20/2007 |
| Medicare PECOS PAC ID | 5193634509 |
|---|---|
| Medicare Enrollment ID | O20100614000326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689870065 | NPI | - | NPPES |
| 145573749 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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