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Clinic/Center

CADDO RIVER MEDICAL CLINIC PLLC

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1194644575 · enumerated 2026-07-10 · record updated 2026-09-22. Source: CMS NPPES. A listing is not a TRICARE network approval.

Authorized official: RICKEY MACK APRN, OWNER · (870) 828-1151

Addresses and phones

Specialties

  • Clinic/Center 261Q00000X · Primary
  • Nurse Practitioner, Family 363LF0000X

In this directory

Locations and evidence

  • Practice location GLENWOOD, AR, 719438810
    Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

  • No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.