Bowlin-Cummins PA
Doing business as Banister Lieblong Clinic
Rural health clinic in Conway, AR, Medicare certification number 043853.
Medicare certification
Provider of Services- CCN
- 043853
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 1B
- Participating since
- Nov 27, 2000
- Last certification
- Dec 28, 2017
- Most recent change of ownership
- Jan 1, 2005 (1 total)
- Address
- 2425 Dave Ward Drive, #401
Conway, AR 72032
(501) 329-3824
NPI records for this facility (CCN to NPI Mapping) 1
-
Medicare enrollment
Related certifications
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.