NPI: 1053714295 · LINCOLN, AR 72744 · Federally Qualified Health Center (FQHC) · NPI assigned 10/02/2014
| Authorized Official | GRISHAM, KATHY (CEO) |
| NPI Enumeration Date | 10/02/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 123 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 123 | 115 | $20K |