Provider Demographics
NPI:1710113071
Name:REINHART FAMILY HEALTHCARE PLLC
Entity Type:Organization
Organization Name:REINHART FAMILY HEALTHCARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:H
Authorized Official - Last Name:REINHART
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:870-460-9777
Mailing Address - Street 1:777 JORDAN DR
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:AR
Mailing Address - Zip Code:71655-5719
Mailing Address - Country:US
Mailing Address - Phone:870-460-9777
Mailing Address - Fax:870-460-4790
Practice Address - Street 1:777 JORDAN DR
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:AR
Practice Address - Zip Code:71655-5719
Practice Address - Country:US
Practice Address - Phone:870-460-9777
Practice Address - Fax:870-460-4790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-01
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR143720002Medicaid
AR194417002Medicaid
AR143720002Medicaid