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Organization

FAMILY FIRST HEALTHCENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FERDINAND T RODA M.D. (PRESIDENT)
(501) 609-0224
Entity
Organization

Contact information

Practice address
1 MERCY LN, SUITE 301, HOT SPRINGS, AR 71913-6442
(501) 609-0224
(501) 609-0666
Mailing address
1 MERCY LN, SUITE 301, HOT SPRINGS, AR 71913-6442
(501) 609-0224
(501) 609-0666

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R4526
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13278000001
QUALCHOICE
AR
05
181286002
AR
01
5F730
BLUE
AR
01
P00373655
RAIL ROAD
AR
Enumeration date
02/22/2007
Last updated
05/20/2010
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