| John Ed Chambers Memorial Hospital, Inc. | |
|
719 Detroit Ave Danville AR 72833-9607 | |
| (479) 495-2241 | |
| (479) 495-6223 |
| Full Name | John Ed Chambers Memorial Hospital, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 719 Detroit Ave, Danville, Arkansas |
| Authorized Official Name and Position | Paula Michaelle Cornwell (CFO) |
| Authorized Official Contact | 4794952241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Ed Chambers Memorial Hospital, Inc. Po Box 639 Danville AR 72833-0639 Ph: (479) 495-2241 | John Ed Chambers Memorial Hospital, Inc. 719 Detroit Ave Danville AR 72833-9607 Ph: (479) 495-2241 |
| NPI Number | 1073748406 |
|---|---|
| Provider Enumeration Date | 05/29/2009 |
| Last Update Date | 01/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073748406 | NPI | - | NPPES |
| 113073002 | Medicaid | AR | |
| 195803002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Tippin Family Medicine Clinic, P. A. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 804 Danark Circle, Danville, AR 72833 Phone: 479-495-7300 Fax: 479-495-7981 | |
Building Blocks Pediatric Therapy, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10668 Lydia Lane, Danville, AR 72833 Phone: 479-495-6326 Fax: 479-495-3336 |