Organization
EUREKA WALK IN CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RAY JONES MD (PRESIDENT)
(479) 363-0100
Entity
Organization
Contact information
Practice address
4052 E VAN BUREN STE A, EUREKA SPGS, AR 72632-9328
(479) 363-0100
(479) 363-0102
Mailing address
4052 E VAN BUREN STE A, EUREKA SPRINGS, AR 72632-9328
(479) 363-0100
(479) 363-0102
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5M289
BCBS
AR
01
—
88733
HEALTH PARTNERS
—
01
—
B04838
MUNICIPAL HEALTH BENEFIT
—
Enumeration date
11/07/2006
Last updated
09/28/2007
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