Organization
HOPE MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEFANIE SHAVER (OFFICE MANAGER)
(501) 745-7161
Entity
Organization
Contact information
Practice address
145 SHAKE RAG RD, CLINTON, AR 72031-6682
(501) 745-7161
(501) 745-8714
Mailing address
145 SHAKE RAG RD, CLINTON, AR 72031-6682
(501) 745-7161
(501) 745-8714
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185295729
—
AR
Enumeration date
11/24/2009
Last updated
09/22/2014
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