| Brunson Elementary School | |
|
212 Scoby Dr Warren AR 71671-2050 | |
| (870) 226-6754 | |
| Not Available |
| Full Name | Brunson Elementary School |
|---|---|
| Speciality | Clinic/Center |
| Location | 212 Scoby Dr, Warren, Arkansas |
| Authorized Official Name and Position | Gary Allan Nichols (CEO) |
| Authorized Official Contact | 8709423000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brunson Elementary School Po Box 509 Dermott AR 71638-0509 Ph: (870) 942-3000 | Brunson Elementary School 212 Scoby Dr Warren AR 71671-2050 Ph: (870) 226-6754 |
| NPI Number | 1578282372 |
|---|---|
| Provider Enumeration Date | 08/24/2022 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Medicare PECOS PAC ID | 5193785590 |
|---|---|
| Medicare Enrollment ID | O20230321000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578282372 | NPI | - | NPPES |
| 299513749 | Medicaid | AR |
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