Cabun Rural Health Services, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · El Dorado, AR
NPI 1104583962 · NPPES record last updated Nov 29, 2021
Key facts
- NPI
- 1104583962
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- CABUN RURAL HEALTH SERVICES, INC
- Practice address
- 601 Dr. MLK Jr. Blvd
El Dorado, AR 71730 - Phone
- (870) 639-3875
- Fax
- (870) 798-4100
- NPI assigned
- Nov 29, 2021
- Organization subpart
- No
Authorized official
- Name
- Susan D Johnston
- Title
- Cio
- Phone
- (870) 798-4064
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- Cabun Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
601 Dr. MLK Jr. Blvd
El Dorado, AR 71730
Mailing address
601 Dr. MLK Jr. Blvd
El Dorado, AR 71730-0601
Phone (870) 639-3875
Other names
- Wildcat Wellness Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | cabunchc@cabun.org |
Other providers in El Dorado, AR
- Laine Makenzie Burson
- Remel Carino Buslig
- Matt Bussey
- Melissa Butler
- John Scott Butterfield
- Sharita Maurice Cain
- Calhouns Arkansas Medical Supply Company
- Matthew Dates Callaway
- Shanna Callaway
- Alison L Cardin
All providers in El Dorado, AR · Federally Qualified Health Center (FQHC) in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.