# CABOT HEALTHCARE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northside Healthcare, Quitman Healthcare, Quitman Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255399424
- **Authorized official:** MR. JACK WEIR (CEO)
- **Authorized official phone:** (501) 941-1495

## Contact information

- **Practice address:** 3181 HIGHWAY 367 N, AUSTIN, AR 72007-8003
- **Practice address phone:** (501) 941-1495
- **Practice address fax:** (501) 941-1496
- **Mailing address:** PO BOX 1313, CABOT, AR 72023-1313
- **Mailing address phone:** (501) 941-1495
- **Mailing address fax:** (501) 941-1496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0280000801 | GROUP | AR |