Organization
ARKANSAS CENTRAL PRIMARY CARE, PLLC
Active
Other names
Jacksonville Medical Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY DREW JACKSON (CLINIC ADMINISTRATOR)
(501) 985-5994
Entity
Organization
Contact information
Practice address
1300 BRADEN ST., JACKSONVILLE, AR 72076-3719
(501) 985-5900
(501) 985-6016
Mailing address
PO BOX 309, JACKSONVILLE, AR 72078-0309
(501) 985-5900
(501) 985-6016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142734002
—
AR
05
—
176116002
—
AR
Enumeration date
10/03/2008
Last updated
02/02/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us