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Organization

BRMC HOMETOWN CLINICS, LLC

Active
Other names
BRMC Hometown Clinic at Mountain View
Organization subpart
No

Provider details

NPI number
Authorized official
RON PETERSON (CEO)
(870) 508-1039
Entity
Organization

Contact information

Practice address
803 WEST MAIN STREET, MOUNTAIN VIEW, AR 72560
(870) 508-1039
Mailing address
624 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2955
(870) 508-1039

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A440508
AR

Other

Enumeration date
10/07/2015
Last updated
10/15/2015
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