# STUTTGART REGIONAL MEDICAL CENTER

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

## Provider details

- **NPI number:** 1710003579
- **Legal business name:** STUTTGART REGIONAL MEDICAL CENTER
- **Authorized official:** LURA WILSON (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (870) 674-6783

## Contact information

- **Practice address:** 110 N NEW YORK AVE, BRINKLEY, AR 72021-2722
- **Practice address phone:** (870) 734-4405
- **Practice address fax:** (870) 734-3438
- **Mailing address:** 110 N NEW YORK AVE, BRINKLEY, AR 72021-2722
- **Mailing address phone:** (870) 734-4405
- **Mailing address fax:** (870) 734-3438

## 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