| Caddo River Medical Clinic Pllc | |
|
180 Highway 70 E Ste 11 Glenwood AR 71943-8810 | |
| (870) 828-1151 | |
| Not Available |
| Full Name | Caddo River Medical Clinic Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 180 Highway 70 E Ste 11, Glenwood, Arkansas |
| Authorized Official Name and Position | Rickey Edna Mack (OWNER) |
| Authorized Official Contact | 8708281151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caddo River Medical Clinic Pllc 516 Highway 8 E Glenwood AR 71943-9222 Ph: () - | Caddo River Medical Clinic Pllc 180 Highway 70 E Ste 11 Glenwood AR 71943-8810 Ph: (870) 828-1151 |
| NPI Number | 1194644575 |
|---|---|
| Provider Enumeration Date | 07/10/2026 |
| Last Update Date | 07/10/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194644575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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