Organization
FERGUSON HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAY WALT FERGUSON MD (PRESIDENT)
(870) 845-0033
Entity
Organization
Contact information
Practice address
114 S MAIN ST, NASHVILLE, AR 71852-2406
(870) 845-0033
Mailing address
PO BOX 522, NASHVILLE, AR 71852-0522
(870) 845-0033
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
C8428
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173735002
—
AR
01
—
5F878
BLUE CROSS
—
Enumeration date
05/02/2007
Last updated
02/25/2011
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