Organization
ARKANSAS RURAL KARE, INC.
Active
Other names
Mountainburg Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE KING (ADMINISTRATOR)
(479) 494-0009
Entity
Organization
Contact information
Practice address
#4 HWY 71 NE, MOUNTAINBURG, AR 72946
(479) 369-2091
(479) 369-4119
Mailing address
310 TOWSON AVE, FORT SMITH, AR 72901-3831
(479) 494-0009
(479) 494-0005
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
770245002
ARKANSAS BREASTCARE
AR
Enumeration date
08/07/2006
Last updated
02/25/2009
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