Organization
SIGNATURE MEDICAL PARK HOSPITAL L L C
Active
Other names
Goins Rural Practice Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL CAMPBELL (MANAGER)
(870) 722-7292
Entity
Organization
Contact information
Practice address
302 E 20TH ST, HOPE, AR 71801-8217
(870) 777-8975
(870) 777-8294
Mailing address
PO BOX 601, HOPE, AR 71802-0601
(870) 722-7231
(870) 722-7192
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5B624
ARKANSAS BCBS
AR
Enumeration date
06/10/2006
Last updated
08/22/2020
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