Healthcare Provider Details

I. General information

NPI: 1386556389
Provider Name (Legal Business Name): BMRHC QUITMAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6134 HEBER SPRINGS RD W
QUITMAN AR
72131-8995
US

IV. Provider business mailing address

PO BOX 1060
MARSHALL AR
72650-1060
US

V. Phone/Fax

Practice location:
  • Phone: 870-448-5733
  • Fax:
Mailing address:
  • Phone: 870-448-5733
  • Fax:

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: DEBBIE ACKERSON
Title or Position: CEO
Credential:
Phone: 870-448-5733