Family Health Care LLC

Organization Active NPI Family Medicine Physician · Mammoth Spring, AR

NPI 1285177147 · NPPES record last updated Nov 28, 2016

Key facts

NPI
1285177147
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
FAMILY HEALTH CARE LLC
Practice address
350 Main St
Ste 4
Mammoth Spring, AR 72554-7423
Phone
(870) 625-3111
Fax
(870) 625-3118
NPI assigned
Nov 28, 2016
Organization subpart
No

Authorized official

Name
Amelia D Ledbetter
Title
Director of Operations
Phone
(573) 335-4715

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Family Health Care (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

350 Main St
Ste 4
Mammoth Spring, AR 72554-7423

Mailing address

350 Main St
Ste 4
Mammoth Spring, AR 72554-7423
Phone (870) 625-3111

Other providers in Mammoth Spring, AR

All providers in Mammoth Spring, AR · Family Medicine Physician in Arkansas

Sources for this page

Verify at the official NPI Registry.