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NPI Code Detail

MEDICARE: CROSSETT HEALTH FOUNDATION

MEDICARE: CROSSETT HEALTH FOUNDATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/CenterMC-1417AR
2261QR1300XRural Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639159973
Entity Type Code : Organization
Provider Name (Legal Business Name) : CROSSETT HEALTH FOUNDATION
Provider Business Mailing Address
First Line : PO BOX 340
Second Line :
City : CROSSETT
State : AR
Zip : 71635-0340
Country : US
Telephone Number : 870-364-9111
Fax Number :
Provider Business Practice Location Address
First Line : 909 UNITY RD
Second Line :
City : CROSSETT
State : AR
Zip : 71635-9444
Country : US
Telephone Number : 870-364-9111
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : GLYNDA K ANDREWS
Credential :
Telephone Number : 870-364-9111
Provider Enumeration Date : 01/20/2006
Last Update Date : 01/20/2026

Similar Medicare Providers

1003813890 — DR. BILLY D GAMMEL PD
Practice Location Address:
909 UNITY RD
CROSSETT, AR
71635-9444
Practice Phone: 870-364-5100
Practice Fax: 870-364-5120
1346220688 — DR. EDWARD A GRESHAM M.D.
Practice Location Address:
909 UNITY RD
CROSSETT, AR
71635-9444
Practice Phone: 870-364-9111
Practice Fax: 870-364-5581
1497735609 — DR. BENJAMIN J WALSH M.D.
Practice Location Address:
909 UNITY RD
CROSSETT, AR
71635-9444
Practice Phone: 870-364-9111
Practice Fax: 870-364-5581
1376513150 — MR. CHARLES L SMITH FNP
Practice Location Address:
909 UNITY RD
CROSSETT, AR
71635-9444
Practice Phone: 870-364-9111
Practice Fax: 870-364-5581
1871715904 — DR. BRADLEY JEFFERSON WALSH MD
Practice Location Address:
909 UNITY RD
CROSSETT, AR
71635-9444
Practice Phone: 870-364-9111
Practice Fax:
1235726258 — KATIE ELLEN LAND PHARMD
Practice Location Address:
909 UNITY RD
CROSSETT, AR
71635-9444
Practice Phone: 870-364-5100
Practice Fax: 870-364-5120

Directions to “CROSSETT HEALTH FOUNDATION ” Practice Location

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