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Salem Family Practice Clinic,pa
Clinic/Center in Benton, Arkansas
NPI 1578591129

Salem Family Practice Clinic,pa is a Clinic/Center based in Benton, AR. Salem Family Practice Clinic,pa practices in Benton, AR. The NPI Number for Salem Family Practice Clinic,pa is 1578591129 and holds a License No. MC1718 (Arkansas).

The current practice location address for Salem Family Practice Clinic,pa is 6640 Congo Rd, Benton, AR and can be reached out via phone at 501-794-4110 and via fax at 501-316-9360.

Location: 6640 Congo Rd, Benton, AR, 72019-6913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578591129
Provider Name
Salem Family Practice Clinic,pa
Credential
Provider Entity Type
Organization
Address
6640 Congo Rd, Benton, AR, 72019-6913
Phone Number
501-794-4110
Fax Number
501-316-9360
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5F075 01 AR BCBS
5F075 01 AR MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
6640 Congo Rd
City
Benton
State
Arkansas
Zip
72019-6913
Phone Number
501-794-4110
Fax Number
501-316-9360
person
Provider Business Mailing Address Details
Address
6640 Congo Rd
City
Benton
State
Arkansas
Zip
72019-6913
Phone Number
501-794-4110
Fax Number
501-316-9360
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
MC1718 (Arkansas)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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