Organization
EAST ARKANSAS FAMILY HEALTH CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WILLIAMS BEARD CPA (CHIEF FINANCIAL OFFICER)
(870) 733-6303
Entity
Organization
Contact information
Practice address
900 N 7TH ST, WEST MEMPHIS, AR 72301-2001
(870) 735-3842
(870) 732-1940
Mailing address
900 N 7TH ST, WEST MEMPHIS, AR 72301-2001
(870) 735-3842
(870) 732-1940
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117750749
—
AR
Enumeration date
06/27/2005
Last updated
11/18/2020
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