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East Arkansas Family Health Center Inc

Organization Active NPI Dental Clinic/Center · Blytheville, AR

NPI 1487935359 · NPPES record last updated Nov 18, 2020

Key facts

NPI
1487935359
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
Legal business name
EAST ARKANSAS FAMILY HEALTH CENTER INC
Practice address
605 N 2ND St
Blytheville, AR 72315-2034
Phone
(870) 532-6001
Fax
(870) 532-6008
NPI assigned
Sep 6, 2011
Organization subpart
No

Authorized official

Name
Susan E Ward-Jones, M.D.
Title
Ceo
Phone
(870) 735-3842

Corporate family (same tax ID) 16

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
E Ar Family Health Ctr Inc (17 organizations share this tax ID)

Locations

4102 Memorial Dr
Blytheville, AR 72315
Phone (870) 532-6001

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Yes

Addresses

Primary practice location

605 N 2ND St
Blytheville, AR 72315-2034

Mailing address

900 N 7TH St
West Memphis, AR 72301-2001
Phone (870) 735-3842

Other identifiers

IdentifierTypeStateIssuer
179761749MedicaidAR

Other names

  • Healthy Partners Doing business as

Other providers in Blytheville, AR

All providers in Blytheville, AR · Dental Clinic/Center in Arkansas

Sources for this page

Verify at the official NPI Registry.