Organization
COWHERD FAMILY MEDICAL CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH CLEGG CPC (CODER/BILLING ADMINISTRATOR)
(501) 362-0500
Entity
Organization
Contact information
Practice address
301 SOUTHRIDGE BLVD, SUITE A, HEBER SPRINGS, AR 72543-8875
(501) 362-0500
(501) 362-0501
Mailing address
PO BOX 1678, HEBER SPRINGS, AR 72543-1678
(501) 362-0500
(501) 362-0501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149835002
—
AR
01
—
DA1227
RAILROAD MEDICARE NUMBER
AR
Enumeration date
06/04/2006
Last updated
09/09/2008
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