# MCCRORY FAMILY CLINIC PA

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

## Provider details

- **NPI number:** 1972613743
- **Authorized official:** FRED E WILSON MD (MD)
- **Authorized official phone:** (870) 731-1100

## Contact information

- **Practice address:** 908 N EDMONDS AVE, MCCRORY, AR 72101
- **Practice address phone:** (870) 731-1100
- **Practice address fax:** (870) 731-1019
- **Mailing address:** PO BOX 780, MCCRORY, AR 72101
- **Mailing address phone:** (870) 731-1100
- **Mailing address fax:** (870) 731-1019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | MC-1803 | AR | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 06/09/2008