Whalio Doctors

NPI 1306801212

Lake Village Clinic PA

Organisation Rural Health Clinic/Center Lake Village, AR

Practice location

Address
2918 Louis Sessions St, Lake Village, AR 71653-6049
Phone
(870) 265-5343
Fax
(870) 265-5686

Authorised official

Name
Suzanne Howell
Title
Billing Manager
Phone
(870) 265-5343

Registered specialties (2)

Rural Health Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QR1300X Licence MC0189 (AR)
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence MC0189 (AR)

Registry record

NPI
1306801212
Entity type
Organization
NPI issued
20 Apr 2006
Record last updated
27 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.