Organization
REBSAMEN MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT LANDRUM (INTERIM CEO)
(501) 985-7035
Entity
Organization
Contact information
Practice address
1400 BRADEN ST, JACKSONVILLE, AR 72076-3721
(501) 985-7000
(501) 985-7264
Mailing address
1400 BRADEN ST, JACKSONVILLE, AR 72076-3721
(501) 985-7000
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
AR3795
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1T074
BLUE CROSS PROVIDER
AR
Enumeration date
08/30/2006
Last updated
08/22/2020
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