Provider Demographics
NPI:1518218668
Name:EAST ARKANSAS FAMILY HEALTH CENTER INC.
Entity Type:Organization
Organization Name:EAST ARKANSAS FAMILY HEALTH CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:BEARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-735-3842
Mailing Address - Street 1:513 PORTER ST
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AR
Mailing Address - Zip Code:72342-3217
Mailing Address - Country:US
Mailing Address - Phone:870-817-0122
Mailing Address - Fax:870-817-0058
Practice Address - Street 1:513 PORTER ST
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AR
Practice Address - Zip Code:72342-3217
Practice Address - Country:US
Practice Address - Phone:870-817-0122
Practice Address - Fax:870-817-0058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-28
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)