| East Arkansas Family Health Center | |
|
102 W Broad St Lepanto AR 72354-2200 | |
| (870) 735-3842 | |
| (870) 732-1940 |
| Full Name | East Arkansas Family Health Center |
|---|---|
| Speciality | Dentist |
| Location | 102 W Broad St, Lepanto, Arkansas |
| Authorized Official Name and Position | Susan Ward-jones (CEO) |
| Authorized Official Contact | 8707353842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Arkansas Family Health Center 900 N 7th St West Memphis AR 72301-2001 Ph: (870) 735-3842 | East Arkansas Family Health Center 102 W Broad St Lepanto AR 72354-2200 Ph: (870) 735-3842 |
| NPI Number | 1366608895 |
|---|---|
| Provider Enumeration Date | 08/04/2008 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366608895 | NPI | - | NPPES |
| 122837749 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Cynthia Landry Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 446 Miles St, Lepanto, AR 72354 Phone: 870-475-2573 |