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Organization

LAWRENCE MEMORIAL HEALTH FOUNDATION INC.

Active
Other names
Imboden Rural Health Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
VANESSA K WAGNER (CFO)
(870) 886-1263
Entity
Organization

Contact information

Practice address
201 N WALNUT STREET, IMBODEN, AR 72434
(870) 869-3101
(870) 869-3014
Mailing address
PO BOX 839, WALNUT RIDGE, AR 72476-0839
(870) 886-1200
(870) 886-5340

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
AR

Other

Enumeration date
10/08/2014
Last updated
08/30/2019
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