Organization Name: | EAST ARKANSAS FAMILY HEALTH CENTER INC. |
NPI Number: | 1922139062 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN E WARD-JONES (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 102 West Broad Lepanto |
State: | AR US |
Postal Code: | 72354 |
Phone Number: | 8704752977 |
Fax Number: | 8704753440 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 10/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |