Organization
FAMILY HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY D LEDBETTER (DIRECTOR OF OPERATIONS)
(573) 651-4488
Entity
Organization
Contact information
Practice address
350 MAIN ST, STE 4, MAMMOTH SPRING, AR 72554-7423
(870) 625-3111
(870) 625-3118
Mailing address
350 MAIN ST, STE 4, MAMMOTH SPRING, AR 72554-7423
(870) 625-3111
(870) 625-3118
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507562106
—
MO
Enumeration date
04/23/2008
Last updated
04/23/2008
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