Provider Demographics
NPI:1588613798
Name:HAMBURG HEALTH CLINIC LLP
Entity Type:Organization
Organization Name:HAMBURG HEALTH CLINIC LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:RANKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:870-853-8271
Mailing Address - Street 1:319 WEST PARKER PO BOX 232
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:AR
Mailing Address - Zip Code:71646-0232
Mailing Address - Country:US
Mailing Address - Phone:870-853-8271
Mailing Address - Fax:870-853-8932
Practice Address - Street 1:319 W PARKER
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:AR
Practice Address - Zip Code:71646-3121
Practice Address - Country:US
Practice Address - Phone:870-853-8271
Practice Address - Fax:870-853-8932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR043816Medicare Oscar/Certification