| Boston Mountain Rural Health Center, Inc | |
|
199 School Dr Shirley AR 72153-7566 | |
| (870) 448-5733 | |
| Not Available |
| Full Name | Boston Mountain Rural Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 199 School Dr, Shirley, 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) 448-5733 | Boston Mountain Rural Health Center, Inc 199 School Dr Shirley AR 72153-7566 Ph: (870) 448-5733 |
| NPI Number | 1285464610 |
|---|---|
| Provider Enumeration Date | 08/01/2024 |
| Last Update Date | 09/24/2024 |
| Medicare PECOS PAC ID | 3870401722 |
|---|---|
| Medicare Enrollment ID | O20241231000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285464610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ozark Health, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 199 School Dr, Shirley, AR 72153 Phone: 501-723-4400 Fax: 501-745-9741 |