| NPI | 1518389089 |
|---|---|
| Doing Business As | PRAIRIE GROVE SCHOOL BASED HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES SEMINGSON CEO 479-751-7417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2020-01-15 |