Catholic Health Initiatives -St. Vincent Interfaith Clinic, INC

NPI #1881612703 in Conway, Arkansas

Provider Information

NPI Number: 1881612703
Entity Type: Organization
Organization Name: Catholic Health Initiatives -St. Vincent Interfaith Clinic, INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 18, 2006
Last Updated: Jun 15, 2015

Practice Location

Address: 830 N CREEK DR
City: Conway
State: Arkansas
ZIP Code: 72032-4711
Phone: (501) 932-0559

Authorized Official

Name: KITTIE A AARON
Title: EXECUTIVE DIRECTOR
Phone: (501) 932-0559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Nurse Practitioner - Family — Family	363LF0000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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