Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 807 E 9th St, Rector, Arkansas |
Authorized Official Name and Position | John Lieblong (PRESIDENT) |
Authorized Official Contact | 8709327024 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 272 Rector Medical Clinic Rector AR 72461-0272 Ph: (870) 595-3527 | 807 E 9th St Rector AR 72461-2406 Ph: (870) 595-3527 |
NPI Number | 1073575734 |
---|---|
Provider Enumeration Date | 04/06/2006 |
Last Update Date | 05/19/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073575734 | NPI | - | NPPES |
130181729 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |