| Organization Name: | EUREKA SPRINGS HOSPITAL FAMILY CLINIC LLC |
| NPI Number: | 1255717914 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRIS BARIOLA (CEO) |
| Mailing Address: | 4052 E Van Buren Suite A Eureka Springs |
| State: | AR US |
| Postal Code: | 726329499 |
| Phone Number: | 4792537400 |
| Fax Number: | |
| NPI Enumeration Date: | 08/05/2015 |
| NPI Last Update Date: | 08/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |