Home » Arkansas » 72447 » Monette Family Practice Clinic Pa

Monette Family Practice Clinic Pa

Monette Family Practice Clinic Pa is a health care provider in Monette, AR. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 210 W Drew, Monette, AR 72447-0747, US
Practice Location Phone870-486-5464
Practice Location Fax870-486-2118
Legal Business NameMONETTE FAMILY PRACTICE CLINIC PA
NPI ?1417071572
Entity TypeOrganization
Enumeration Date ? Mar 16, 2007
Last Update Date ? Jul 10, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Monette Family Practice Clinic Pa

SpecialtySpecializationLicenseLicense State
Clinic/Center
Clinic/Center S27098Arkansas

legacy-id-icon Legacy Provider IDs of Monette Family Practice Clinic Pa

Provider IdIssuer StateIssuer TypeIssuer
136895762ArkansasMedicaid

official-icon Authorized Official of Monette Family Practice Clinic Pa

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Monette Family Practice Clinic Pa's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Glen Christopher Rolland
Authorized Official Title/PositionBILLING CLERK
Authorized Official Phone Number870-486-5464