# ARKANSAS CENTRAL PRIMARY CARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jacksonville Medical Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396996740
- **Authorized official:** MR. GARY DREW JACKSON (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (501) 985-5994

## Contact information

- **Practice address:** 1300 BRADEN ST., JACKSONVILLE, AR 72076-3719
- **Practice address phone:** (501) 985-5900
- **Practice address fax:** (501) 985-6016
- **Mailing address:** PO BOX 309, JACKSONVILLE, AR 72078-0309
- **Mailing address phone:** (501) 985-5900
- **Mailing address fax:** (501) 985-6016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 10/03/2008
- **Last updated:** 02/02/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 142734002 | — | AR |
| 05 | — | 176116002 | — | AR |