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General NPI Number Information
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NPI Number | 1144163049
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Entity Type | Organization
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Legal Business Name | CABUN RURAL HEALTH SERVICES, INC
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 1023 W WASHINGTON ST
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City | CAMDEN
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State | AR
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Zip | 71701-3828
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Country | US
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Telephone | 870-891-7161
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Fax | 870-231-7188
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Provider Business Mailing Address
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Address Line | 1023 W WASHINGTON ST
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City | CAMDEN
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State | AR
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Zip | 71701-3828
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Country | US
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Telephone | 870-891-7161
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Fax | 870-231-7188
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Authorized Official
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Title or Position | CIO
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Name | SUSAN D JOHNSTON
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Credential | LPN, LRT, CHBS
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Telephone | 870-798-4064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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