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Organization
JOHNSON REGIONAL MEDICAL CENTER
Active
Organization
JOHNSON REGIONAL MEDICAL CENTER
Active
Other names
Clarksville Women's Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY MORSE (ADMINISTRATOR)
(479) 754-2060
Entity
Organization
Contact information
Practice address
1100 E POPLAR ST, CLARKSVILLE, AR 72830-4419
(479) 754-5337
(479) 754-5348
Mailing address
PO BOX 1836, CLARKSVILLE, AR 72830-1836
(479) 754-5337
(479) 754-5348
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F191
ARK BLUE CROSS
AR
Enumeration date
03/27/2006
Last updated
08/22/2020
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