| Boston Mountain Rural Health Center Inc. | |
|
1103 W Main St Green Forest AR 72638-2311 | |
| (870) 448-5733 | |
| (870) 448-3767 |
| Full Name | Boston Mountain Rural Health Center Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1103 W Main St, Green Forest, Arkansas |
| Authorized Official Name and Position | Debbie Ackerson (CEO) |
| Authorized Official Contact | 8704485733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Mountain Rural Health Center Inc. Po Box 1060 Marshall AR 72650-1060 Ph: (870) 448-5101 | Boston Mountain Rural Health Center Inc. 1103 W Main St Green Forest AR 72638-2311 Ph: (870) 448-5733 |
| NPI Number | 1689221707 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 08/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689221707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |