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Organization

CABUN RURAL HEALTH SERVICES, INC

Active
Parent organization
CABUN RURAL HEALTH SERVICES, INC
Other names
Lewisville Family Practice Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
CABUN RURAL HEALTH SERVICES, INC
Authorized official
SUSAN DIANE JOHNSTON LPN, LRT, RMC (BILLING SUPERVISOR)
(870) 798-3515
Entity
Organization

Contact information

Practice address
1117 CHESTNUT STREET, LEWISVILLE, AR 71845
(870) 921-5781
(870) 921-4510
Mailing address
PO BOX 1013, LEWISVILLE, AR 71845-1013
(870) 921-5781
(870) 921-4510

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122632749
AR
Enumeration date
06/16/2006
Last updated
01/26/2012
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