| Cardinal Care Center, P.l.l.c. | |
|
128 Southwinds Rd Suite 3 Farmington AR 72730-8652 | |
| (479) 267-6934 | |
| (479) 267-6934 |
| Full Name | Cardinal Care Center, P.l.l.c. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 128 Southwinds Rd, Farmington, Arkansas |
| Authorized Official Name and Position | Sherri Lynn Gansz (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 4792676934 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Care Center, P.l.l.c. Po Box 903 Farmington AR 72730-0903 Ph: (479) 267-6934 | Cardinal Care Center, P.l.l.c. 128 Southwinds Rd Suite 3 Farmington AR 72730-8652 Ph: (479) 267-6934 |
| NPI Number | 1609126796 |
|---|---|
| Provider Enumeration Date | 09/15/2012 |
| Last Update Date | 09/15/2012 |
| Medicare PECOS PAC ID | 3577714328 |
|---|---|
| Medicare Enrollment ID | O20121105000094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609126796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 811016814 (Arkansas) | Primary |
| Provider Name | Sherri L Gansz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235446733 PECOS PAC ID: 8123204294 Enrollment ID: I20110525000745 |
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