Organization
MONETTE FAMILY PRACTICE CLINIC PA
Active
Organization
MONETTE FAMILY PRACTICE CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN CHRISTOPHER ROLLAND (BILLING CLERK)
(870) 486-5464
Entity
Organization
Contact information
Practice address
210 W DREW, MONETTE, AR 72447-0747
(870) 486-5464
(870) 486-2118
Mailing address
PO BOX 747, MONETTE, AR 72447-0747
(870) 486-5464
(870) 486-2118
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
S27098
AR
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136895762
—
AR
Enumeration date
03/16/2007
Last updated
07/10/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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