Organization
CADDO RIVER MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKEY EDNA MACK APRN (OWNER)
(870) 828-1151
Entity
Organization
Contact information
Practice address
180 HIGHWAY 70 E STE 11, GLENWOOD, AR 71943-8810
(870) 828-1151
Mailing address
516 HIGHWAY 8 E, GLENWOOD, AR 71943-9222
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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