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NPI Code Detail

MEDICARE: NATIONAL HEALTHCARE OF NEWPORT INC

MEDICARE: NATIONAL HEALTHCARE OF NEWPORT INC
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/Center

General Provider Information

NPI Number : 1801845201
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATIONAL HEALTHCARE OF NEWPORT INC
Provider Business Mailing Address
First Line : 1200 MCLAIN ST
Second Line :
City : NEWPORT
State : AR
Zip : 72112-3534
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1200 MCLAIN ST
Second Line :
City : NEWPORT
State : AR
Zip : 72112-3534
Country : US
Telephone Number : 870-523-5272
Fax Number : 870-523-4292
Authorized Official
Title or Position : DIRECTOR OF PROVIDER ENROLLMENT
Name : DEBBIE T BREWER
Credential :
Telephone Number : 615-465-7000
Provider Enumeration Date : 05/10/2006
Last Update Date : 01/15/2008

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Directions to “NATIONAL HEALTHCARE OF NEWPORT INC ” Practice Location

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