Healthcare Provider Details

I. General information

NPI: 1770138919
Provider Name (Legal Business Name): CABUN RURAL HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2019
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E 18TH ST
HOPE AR
71801-8203
US

IV. Provider business mailing address

200 E 18TH ST
HOPE AR
71801-8203
US

V. Phone/Fax

Practice location:
  • Phone: 870-722-2733
  • Fax: 870-798-4100
Mailing address:
  • Phone: 870-722-2733
  • Fax: 870-798-4100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: SUSAN D JOHNSTON
Title or Position: CHEIF INFORMATION OFFICER
Credential:
Phone: 870-798-4064