Provider Demographics
NPI:1306832845
Name:BELL CLINIC P.A.
Entity type:Organization
Organization Name:BELL CLINIC P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:DUNLAP
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:870-338-8163
Mailing Address - Street 1:626 POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AR
Mailing Address - Zip Code:72342-3140
Mailing Address - Country:US
Mailing Address - Phone:870-338-8163
Mailing Address - Fax:870-338-7810
Practice Address - Street 1:626 POPLAR ST
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AR
Practice Address - Zip Code:72342-3140
Practice Address - Country:US
Practice Address - Phone:870-338-8163
Practice Address - Fax:870-338-7810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-20
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARMC-0292261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR113833002Medicaid
AR125897729Medicaid
AR113833002Medicaid
AR51707Medicare PIN
AR57629Medicare PIN
AR57629Medicare PIN