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Organization
JPC MEDICAL INC
Active
Organization
JPC MEDICAL INC
Active
Other names
HINES FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RAYMOND HINES D.O. (CEO)
(870) 236-4100
Entity
Organization
Contact information
Practice address
1300 W. COURT ST., PARAGOULD, AR 72450-4247
(870) 236-4100
(870) 236-4122
Mailing address
1300 W. COURT ST., PARAGOULD, AR 72450-4247
(870) 236-4100
(870) 236-4122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E3472
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166393004
—
AR
01
—
5F554
BLUE CROSS BLUE SHIELD
AR
Enumeration date
05/28/2006
Last updated
04/07/2011
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