# CROSSETT HEALTH FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CROSSETT HEALTH FOUNDATION
- **Other names:** Hamburg Health Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093084808
- **Legal business name:** CROSSETT HEALTH FOUNDATION
- **Authorized official:** MR. PHILLIP K GILMORE (CEO)
- **Authorized official phone:** (870) 364-1271

## Contact information

- **Practice address:** 319 W PARKER ST, HAMBURG, AR 71646-3121
- **Practice address phone:** (870) 853-8271
- **Practice address fax:** (870) 364-1245
- **Mailing address:** 319 W PARKER ST, HAMBURG, AR 71646-3121
- **Mailing address phone:** (870) 853-8271
- **Mailing address fax:** (870) 364-1245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/22/2011
- **Last updated:** 04/09/2013