Organization Name: | BROOKLAND MEDICAL CLINIC |
NPI Number: | 1194732693 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANE CURETON (OFFICE MANAGER) |
Mailing Address: | 102 West Smith Brookland |
State: | AR US |
Postal Code: | 72417 |
Phone Number: | 8709321211 |
Fax Number: | 8709325849 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 03/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |