| Hackett Family Clinic, LLC | |
|
215 N Main St Hackett AR 72937-8801 | |
| (479) 255-6095 | |
| (479) 255-6141 |
| Full Name | Hackett Family Clinic, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 215 N Main St, Hackett, Arkansas |
| Authorized Official Name and Position | Evelyn M Tustin (OFFICE MANAGER) |
| Authorized Official Contact | 4792556095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hackett Family Clinic, LLC Po Box 1278 Poteau OK 74953-1278 Ph: (918) 647-0670 | Hackett Family Clinic, LLC 215 N Main St Hackett AR 72937-8801 Ph: (479) 255-6095 |
| NPI Number | 1124656434 |
|---|---|
| Provider Enumeration Date | 03/31/2020 |
| Last Update Date | 03/31/2020 |
| Certification Date | 03/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124656434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |