| NPI | 1306801212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE HOWELL Billing Manager 870-265-5343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: AR MC0189) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AR MC0189) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2024-09-27 |