Organization
SCHMITZ FAMILY PRACTICE AND RURAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L. SCHMITZ D.O. (OWNER)
(479) 965-7702
Entity
Organization
Contact information
Practice address
1006 E MAIN ST, CHARLESTON, AR 72933-9388
(479) 965-7702
(479) 965-2180
Mailing address
1006 E MAIN ST, CHARLESTON, AR 72933-9388
(479) 965-7702
(479) 965-2180
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184001002
—
AR
01
—
5G612
MEDICARE PTAN
AR
01
—
5J293
MEDICARE - BCBS
AR
Enumeration date
08/11/2010
Last updated
11/23/2010
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