# POCAHONTAS MEDICAL CLINIC PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** POCAHONTAS MEDICAL CLINIC, PA
- **Other names:** Pocahontas Medical Clinic, PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700554177
- **Legal business name:** POCAHONTAS MEDICAL CLINIC, PA
- **Authorized official:** CINDY A MARKUM (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (870) 892-4467

## Contact information

- **Practice address:** 1601 MARKET DR, POCAHONTAS, AR 72455-1491
- **Practice address phone:** (870) 892-4467
- **Practice address fax:** (870) 892-4467
- **Mailing address:** 2901 MEDICAL CENTER DR, POCAHONTAS, AR 72455-9438
- **Mailing address phone:** (870) 892-4467
- **Mailing address fax:** (870) 892-4407

## Taxonomy

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

## Other

- **Enumeration date:** 09/01/2021
- **Last updated:** 09/01/2021