| Child & Youth Pediatric Day Clinic | |
|
1005 Balcom Ln Trumann AR 72472-9502 | |
| (870) 483-1461 | |
| (870) 483-6520 |
| Full Name | Child & Youth Pediatric Day Clinic |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 1005 Balcom Ln, Trumann, Arkansas |
| Authorized Official Name and Position | Holly Allgood (BILLING SPECIALIST) |
| Authorized Official Contact | 8708190232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child & Youth Pediatric Day Clinic 3012 Turman Dr Jonesboro AR 72404-8998 Ph: (870) 819-0200 | Child & Youth Pediatric Day Clinic 1005 Balcom Ln Trumann AR 72472-9502 Ph: (870) 483-1461 |
| NPI Number | 1790818334 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 04/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790818334 | NPI | - | NPPES |
| 160747526 | Medicaid | AR | |
| 160750724 | Medicaid | AR | |
| 5C363 | Other | AR | BCBS |
| 160757742 | Medicaid | AR |
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