Organization
EAST ARKANSAS FAMILY HEALTH CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN E WARD-JONES M.D. (CHIEF EXECUTIVE OFFICER)
(870) 735-3842
Entity
Organization
Contact information
Practice address
102 WEST BROAD, LEPANTO, AR 72354
(870) 475-2977
(870) 475-3440
Mailing address
900 N 7TH ST, WEST MEMPHIS, AR 72301-2001
(870) 735-3842
(870) 475-3440
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122837749
—
AR
Enumeration date
03/08/2007
Last updated
11/18/2020
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