| Salem 1st Care | |
|
172 Hwy 62 East Suite 1 Salem AR 72576 | |
| (870) 895-1911 | |
| (870) 895-4244 |
| Full Name | Salem 1st Care |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 172 Hwy 62 East, Salem, Arkansas |
| Authorized Official Name and Position | Thomas Keller (PRESIDENT AND CEO) |
| Authorized Official Contact | 4172579111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salem 1st Care Po Box 1100 West Plains MO 65775-1100 Ph: (870) 895-1911 | Salem 1st Care 172 Hwy 62 East Suite 1 Salem AR 72576 Ph: (870) 895-1911 |
| NPI Number | 1679600936 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 09/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679600936 | NPI | - | NPPES |
| 118739729 | Medicaid | AR | |
| 592967509 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 17447 (Missouri) | Primary |
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