BOSTON MOUNTAIN RURAL HEALTH CENTER INC NPI 1922625706

NPI Information

BOSTON MOUNTAIN RURAL HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Clinton, AR. BOSTON MOUNTAIN RURAL HEALTH CENTER, INC NPI is 1922625706. The provider is registered as an organization entity type.

The provider's business location address is:

465 MEDICAL CENTER PKWY
CLINTON, AR
ZIP 72031-946
Phone: (501) 745-8811
Fax: (501) 745-5042

The provider's authorized official is Debbie Ackerson .
The authorized official title is Ceo and has the following contact phone number (870) 448-5733.

The CLIA number assigned to this NPI record is 04D2286102 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2020 and was last updated on 6/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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