Organization · Type 2 NPI

Lee County Cooperative Clinic

Federally Qualified Health Center (FQHC) · Wabash, AR

NPI number 1356359442 Active

Practice location

14264 Highway 44
Wabash, AR 72389

Call (870) 295-5225 Map

Fax (870) 295-6900

Mailing address

PO Box 669
Marianna, AR 72360-0669

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1356359442
Entity type: Organization (Type 2)
Issued: Aug 4, 2006
Last updated: Mar 2, 2021
Status: Active

Other names

<unavail>
Lakeview Satellite Clinic · doing business as
Lakeview Satellite Clinic · doing business as

Authorized official

Miss Ossie M Hall
Cashier/billing Supervisor
(870) 295-5225

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356359442

Lee County Cooperative Clinic's National Provider Identifier is 1356359442, issued on Aug 4, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Wabash, AR. The record was last updated on Mar 2, 2021.