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Organization

WEST CARROLL HEALTH SYSTEMS LLC

Active
Other names
Eudora Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DEWANA LITTLE (ADMINISTRATOR)
(318) 428-3237
Entity
Organization

Contact information

Practice address
200 S MAIN STREET, EUDORA, AR 71640
(870) 355-2300
(870) 355-6323
Mailing address
706 ROSS ST, OAK GROVE, LA 71263-9798
(870) 355-2300
(870) 355-8363

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150098729
AR
01
5C962
ARKANSAS BLUE CROSS
AR
Enumeration date
01/06/2006
Last updated
11/06/2008
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