| NPI | 1982841144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE K COVERT Sole Owner 870-898-6940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AR E-0730) |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health (Licence: AR E-0730) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2010-08-27 |