Organization
1ST CHOICE HEALTHCARE INC
Active
Parent organization
1ST CHOICE HEALTHCARE, INC.
Other names
1st Choice Healthcare Walnut Ridge, 1st Choice Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
1ST CHOICE HEALTHCARE, INC.
Authorized official
SYDNEY STEVENS (CHIEF OPERATING OFFICER)
(870) 857-3334
Entity
Organization
Contact information
Practice address
201 COLONIAL DR, WALNUT RIDGE, AR 72476-1410
(870) 886-5507
(870) 886-5632
Mailing address
PO BOX 83, CORNING, AR 72422-0083
(870) 857-3334
(870) 857-9934
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155222749
—
AR
01
—
5B451
AR BCBS PROVIDER NUMBER
AR
Enumeration date
05/25/2006
Last updated
08/16/2024
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