| Chipgang Chosen Heirs Intentionally Pure | |
|
3602 Hawthorne Paragould AR 72450-6374 | |
| (904) 412-3410 | |
| Not Available |
| Full Name | Chipgang Chosen Heirs Intentionally Pure |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3602 Hawthorne, Paragould, Arkansas |
| Authorized Official Name and Position | Ramonda Spivey (DIRECTOR) |
| Authorized Official Contact | 9044123410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chipgang Chosen Heirs Intentionally Pure 3602 Hawthorne Paragould AR 72450-6374 Ph: (904) 412-3410 | Chipgang Chosen Heirs Intentionally Pure 3602 Hawthorne Paragould AR 72450-6374 Ph: (904) 412-3410 |
| NPI Number | 1861333668 |
|---|---|
| Provider Enumeration Date | 04/03/2026 |
| Last Update Date | 04/03/2026 |
| Certification Date | 04/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861333668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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