# ARKADELPHIA CLINIC FOR CHILDREN AND YOUNG ADULTS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467095133
- **Authorized official:** GARI M RUCKER (DELEGATED OFFICIAL)
- **Authorized official phone:** (870) 246-8036

## Contact information

- **Practice address:** 2850 TWIN RIVERS DR, ARKADELPHIA, AR 71923-4212
- **Practice address phone:** (870) 246-8036
- **Practice address fax:** (870) 246-7164
- **Mailing address:** 2850 TWIN RIVERS DR, ARKADELPHIA, AR 71923-4212
- **Mailing address phone:** (870) 246-8036
- **Mailing address fax:** (870) 246-7164

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2019
- **Last updated:** 10/24/2019