Organization
CABUN RURAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DIANE JOHNSTON LPN LRT RMC (BILLING SUPERVISOR)
(870) 798-3515
Entity
Organization
Contact information
Practice address
402 LEE ST, HAMPTON, AR 71744-8937
(870) 798-4299
(870) 798-4100
Mailing address
PO BOX 851, HAMPTON, AR 71744-0851
(870) 798-4299
(870) 798-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117567749
—
AR
Enumeration date
06/06/2006
Last updated
07/16/2007
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