| South Arkansas Regional Health Center Magnolia Clinic | |
|
412 N Vine Magnolia AR 71753-2842 | |
| (870) 234-7500 | |
| (870) 234-8225 |
| Full Name | South Arkansas Regional Health Center Magnolia Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 412 N Vine, Magnolia, Arkansas |
| Authorized Official Name and Position | William C Peel (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8708627921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Arkansas Regional Health Center Magnolia Clinic 715 N College Ave El Dorado AR 71730-4403 Ph: (870) 862-7921 | South Arkansas Regional Health Center Magnolia Clinic 412 N Vine Magnolia AR 71753-2842 Ph: (870) 234-7500 |
| NPI Number | 1942412036 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 11/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942412036 | NPI | - | NPPES |
| 137438726 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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