Organization
JPC MEDICAL INC
Active
Other names
HINES FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RAYMOND HINES D.O. (CEO)
(870) 236-4100
Entity
Organization
Contact information
Practice address
1300 W. COURT ST., PARAGOULD, AR 72450-4247
(870) 236-4100
(870) 236-4122
Mailing address
1300 W. COURT ST., PARAGOULD, AR 72450-4247
(870) 236-4100
(870) 236-4122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E3472
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166393004
—
AR
01
—
5F554
MEDICARE GROUP NUMBER
AR
Enumeration date
05/28/2006
Last updated
04/07/2011
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