| Bradley County Medical Center Rural Health Clinic | |
|
304 East Central Warren AR 71671-0000 | |
| (870) 226-8636 | |
| (870) 226-8655 |
| Full Name | Bradley County Medical Center Rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 304 East Central, Warren, Arkansas |
| Authorized Official Name and Position | Leslie Huitt (CEO/CFO) |
| Authorized Official Contact | 8702264301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley County Medical Center Rural Health Clinic 404 S Bradley St Warren AR 71671-3459 Ph: (870) 226-4301 | Bradley County Medical Center Rural Health Clinic 304 East Central Warren AR 71671-0000 Ph: (870) 226-8636 |
| NPI Number | 1174044697 |
|---|---|
| Provider Enumeration Date | 07/06/2017 |
| Last Update Date | 11/11/2022 |
| Medicare PECOS PAC ID | 2961316112 |
|---|---|
| Medicare Enrollment ID | O20170808000890 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174044697 | NPI | - | NPPES |
| 235139729 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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