# STUTTGART REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STUTTGART REGIONAL MEDICAL CENTER
- **Other names:** Clarendon Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578689238
- **Legal business name:** STUTTGART REGIONAL MEDICAL CENTER
- **Authorized official:** LURA WILSON (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (870) 674-6783

## Contact information

- **Practice address:** 198 S MAIN ST, CLARENDON, AR 72029-2756
- **Practice address phone:** (870) 747-3349
- **Practice address fax:** (870) 747-3866
- **Mailing address:** 198 S MAIN ST, CLARENDON, AR 72029-2756
- **Mailing address phone:** (870) 747-3349
- **Mailing address fax:** (870) 747-3866

## Taxonomy

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

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 10/25/2007