| Boston Mountain Rural Health Center Inc | |
|
934 N Gaskill St Huntsville AR 72740-8903 | |
| (479) 738-5500 | |
| (479) 738-1350 |
| Full Name | Boston Mountain Rural Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 934 N Gaskill St, Huntsville, Arkansas |
| Authorized Official Name and Position | Debbie Ackerson (CEO) |
| Authorized Official Contact | 8704485733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 934 N Gaskill St Huntsville AR 72740-8903 Ph: (479) 738-5500 |
| NPI Number | 1467543892 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 01/25/2019 |
| Medicare PECOS PAC ID | 3870401722 |
|---|---|
| Medicare Enrollment ID | O20030110000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467543892 | NPI | - | NPPES |
| 149029749 | Medicaid | AR | |
| 5B477 | Other | AR | BLUE CROSS OF ARKANSAS GR |
| DA1111 | Other | AR | RAILROAD MEDICARE PIN GRO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Boston Mountain Rural Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 934 North Gaskill, Huntsville, AR 72740 Phone: 870-448-5733 | |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14558 Highway 412 Ste A, Huntsville, AR 72740 Phone: 479-351-0973 Fax: 479-351-0975 | |
Madison County Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Phillips Pl, Huntsville, AR 72740 Phone: 479-738-1700 Fax: 479-738-5510 | |
Boston Mountain Rural Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 Polk St, Huntsville, AR 72740 Phone: 479-738-1583 Fax: 479-738-1350 |