<unavail> in Warren, AR - Medicare Clinic/Center

is a medicare enrolled mental health clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Warren, Arkansas. The current practice location for is 1012 E Church St Ste B, Warren, Arkansas. For appointments, you can reach them via phone at (870) 226-6754. The mailing address for is Po Box 509, Dermott, Arkansas and phone number is (870) 942-3000.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1396383758. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (870) 226-6754.

Contact Information


	1012 E Church St Ste B Warren AR 71671-3530
	(870) 226-6754
	(870) 226-7925

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1012 E Church St Ste B, 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 and Practice Location

Mailing Address	Practice Location Address
Po Box 509 Dermott AR 71638-0509 Ph: (870) 942-3000	1012 E Church St Ste B Warren AR 71671-3530 Ph: (870) 226-6754

NPI Details:

NPI Number	1396383758
Provider Enumeration Date	12/17/2019
Last Update Date	09/18/2024
Certification Date	09/18/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	5193785590
Medicare Enrollment ID	O20200113001949

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396383758	NPI	-	NPPES
240737749	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TB0200X	Psychologist - Cognitive & Behavioral	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Warren, AR

Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 803 N Walnut St, Warren, AR 71671 Phone: 870-226-6754 Fax: 870-226-7925
Bradley County Medical Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 404 S Bradley St, Warren, AR 71671 Phone: 870-226-3731 Fax: 870-226-4300
Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 212 Scoby Dr, Warren, AR 71671 Phone: 870-226-6754
Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 210 Scoby Dr, Warren, AR 71671 Phone: 870-226-7925
Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 800 N Walnut St, Warren, AR 71671 Phone: 870-226-6754

- Medicare Mental Health Clinic in Warren, AR