Organization
JOHN PATTON BLACK,MD
Active
Other names
DBA MOUNTAIN HOME EMERGENCY GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PATTON BLACK MD (OWNER)
(870) 424-7070
Entity
Organization
Contact information
Practice address
624 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2955
(870) 424-7070
(870) 424-6616
Mailing address
PO BOX 2443, MOUNTAIN HOME, AR 72654-2443
(870) 424-7070
(870) 424-6616
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
C67844
AR
Other
Enumeration date
06/09/2006
Last updated
12/17/2007
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