Organization
CABUN RURAL HEALTH SERVICES, INC
Active
Parent organization
CABUN RURAL HEALTH SERVICES, INC
Other names
Amity Community Health 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
329 N HILL ST, AMITY, AR 71921-9635
(870) 342-5006
(870) 342-5802
Mailing address
PO BOX 218, AMITY, AR 71921-0218
(870) 342-5006
(870) 342-5802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143650749
—
AR
Enumeration date
06/06/2006
Last updated
08/09/2010
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