Organization
RICH MOUNTIAN FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HENRY FINCK MD (MANAGER)
(479) 394-4703
Entity
Organization
Contact information
Practice address
209 MORROW ST N, MENA, AR 71953-2514
(479) 394-4703
(479) 394-2126
Mailing address
209 MORROW ST N, MENA, AR 71953-2514
(479) 394-4703
(479) 394-2126
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R3577
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5B290
BCBS
AR
Enumeration date
02/22/2007
Last updated
03/14/2011
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