Organization
CABOT HEALTHCARE CENTER, LLC
Active
Other names
Northside Healthcare, Quitman Healthcare, Quitman Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK WEIR (CEO)
(501) 941-1495
Entity
Organization
Contact information
Practice address
3181 HIGHWAY 367 N, AUSTIN, AR 72007-8003
(501) 941-1495
(501) 941-1496
Mailing address
PO BOX 1313, CABOT, AR 72023-1313
(501) 941-1495
(501) 941-1496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0280000801
GROUP
AR
Enumeration date
05/03/2006
Last updated
08/22/2020
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