Organization
1ST CHOICE HEALTHCARE INC
Inactive
Other names
1st Choice Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY STEVENS (CHIEF OPERATING OFFICER)
(870) 857-3334
Entity
Organization
Contact information
Practice address
1300 CREASON RD, CORNING, AR 72422-1716
(870) 857-3399
(870) 857-3301
Mailing address
PO BOX 83, CORNING, AR 72422-0083
(870) 857-3334
(870) 857-9934
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124796749
—
AR
05
—
507882009
—
MO
01
—
5B451
AR BCBS PROVIDER NUMBER
AR
Enumeration date
05/25/2006
Last updated
12/14/2023
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