Organization
CARDIOVASCULAR ASSOCIATES OF NORTHCENTRAL ARKANSAS, P.A.
Active
Other names
CVANCA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA M. HOYT (OFFICE MANAGER)
(870) 425-8288
Entity
Organization
Contact information
Practice address
555 W 6TH ST, MOUNTAIN HOME, AR 72653-3409
(870) 425-8288
(870) 425-8299
Mailing address
555 W 6TH ST, MOUNTAIN HOME, AR 72653-3409
(870) 425-8288
(870) 425-8299
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130724002
—
AR
05
—
187154002
—
AR
01
—
203171418
CHAMPUS/TRICARE #
AR
01
—
5C181
AR BCBS #
AR
Enumeration date
06/02/2005
Last updated
07/11/2011
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