# CCMOUN HEALTH PLLC

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

## Provider details

- **NPI number:** 1912853896
- **Authorized official:** DR. UZOMA MELISSA OBI-NWANKWO (MANAGER)
- **Authorized official phone:** (936) 333-8090

## Contact information

- **Practice address:** 701 SOUTH ST \# 100, MOUNTAIN HOME, AR 72653-4452
- **Practice address phone:** (509) 768-2249
- **Practice address fax:** (248) 780-3452
- **Mailing address:** 5904 SW COYWOLF ST, BENTONVILLE, AR 72713-3324
- **Mailing address fax:** (248) 780-3452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 03/04/2026
- **Last updated:** 03/04/2026