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Contact Information

BOSTON MOUNTAIN RURAL HEALTH CENTER, INC
465 MEDICAL CENTER PARKWAY
CLINTON, AR72031
 Phone: 501-745-7888
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for BOSTON MOUNTAIN RURAL HEALTH CENTER, INC

NPI # 1376631846
LBN Legal business name BOSTON MOUNTAIN RURAL HEALTH CENTER, INC
Authorized official DEBBIE ACKERSON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/10/2006
Last updated 01/28/2019 - About 7 years ago
Identifiers
AR Medicaid 133965749
AR Other 5B477 BLUE CROSS OF ARKANSAS
AR Other DA1111 RAILROAD GROUP ID MEDICAR
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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