Monticello Medical Clinic, Plc
Family Medicine in Star City, AR. Organization (NPI-2).
NPI number1982193975
StatusActive
Last updated in NPPESMay 4, 2018
Details
- NPI
- 1982193975
- Entity type
- Organization (NPI-2)
- Legal business name
- Monticello Medical Clinic, Plc
- Organization subpart
- Yes
- Enumeration date
- May 4, 2018
- Last updated
- May 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MC-1891 | AR | Yes |
Other names
- Mmc-Star City Satellite Clinic (Other Name)
Practice location
1306 N. Lincoln AvenueStar City, AR 71667
Phone 870-628-1388 · Fax 870-628-1347
Mailing address
906 Roberts DrMonticello, AR 71655-5724
Phone 870-367-6867 · Fax 870-367-1461
Authorized official
Sylvia Simon
Medical Director
8703676867
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