Salem Family Clinic | |
507 N Main St Salem AR 72576-9449 | |
(870) 895-2541 | |
(870) 895-2957 |
Full Name | Salem Family Clinic |
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Speciality | General Practice |
Location | 507 N Main St, Salem, Arkansas |
Authorized Official Name and Position | Michael N Moody (MEDICAL DOCTOR) |
Authorized Official Contact | 8708952541 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Salem Family Clinic Po Box 829 Salem AR 72576-0829 Ph: (870) 895-2541 | Salem Family Clinic 507 N Main St Salem AR 72576-9449 Ph: (870) 895-2541 |
NPI Number | 1376519454 |
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Provider Enumeration Date | 02/27/2006 |
Last Update Date | 12/22/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376519454 | NPI | - | NPPES |
102260002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | MC0433 (Arkansas) | Primary |
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