Conway County Community Service, Inc | |
804 W Freeman Ave Berryville AR 72616-3106 | |
(870) 280-3468 | |
Not Available |
Full Name | Conway County Community Service, Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 804 W Freeman Ave, Berryville, Arkansas |
Authorized Official Name and Position | Angela Lynn Wheat (PA/CREDENTIALING CLERK) |
Authorized Official Contact | 5013544589 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Conway County Community Service, Inc Po Box 679 Morrilton AR 72110-0679 Ph: (501) 354-4589 | Conway County Community Service, Inc 804 W Freeman Ave Berryville AR 72616-3106 Ph: (870) 280-3468 |
NPI Number | 1699360420 |
---|---|
Provider Enumeration Date | 03/03/2021 |
Last Update Date | 03/03/2021 |
Certification Date | 03/03/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699360420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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