Organization
FAMILY HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY P WARD FNP (OWNER)
(870) 625-3111
Entity
Organization
Contact information
Practice address
350 S MAIN ST, STE 4, MAMMOTH SPRING, AR 72554-7425
(870) 625-3111
(870) 625-3118
Mailing address
350 MAIN ST, STE 4, MAMMOTH SPRING, AR 72554-7425
(870) 625-3111
(870) 625-3118
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
AO2947
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F672
MEDICARE PART B
AR
Enumeration date
09/26/2006
Last updated
12/08/2010
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