Organization
MENA HOSPITAL COMMISSION
Active
Other names
GRANNIS MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
BOB ELLZEY (CEO)
(479) 394-6100
Entity
Organization
Contact information
Practice address
311 MORROW ST N, MENA, AR 71953-2516
(870) 385-2513
Mailing address
311 MORROW ST N, MENA, AR 71953-2516
(870) 385-2513
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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