| The Buffalo River Clinic, Inc. | |
|
933 Mc 6013 Yellville AR 72687-7595 | |
| (207) 385-3494 | |
| Not Available |
| Full Name | The Buffalo River Clinic, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 933 Mc 6013, Yellville, Arkansas |
| Authorized Official Name and Position | Derainey Rene Smith (OWNER) |
| Authorized Official Contact | 2073873494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Buffalo River Clinic, Inc. Po Box 932 Yellville AR 72687-0932 Ph: () - | The Buffalo River Clinic, Inc. 933 Mc 6013 Yellville AR 72687-7595 Ph: (207) 385-3494 |
| NPI Number | 1982060562 |
|---|---|
| Provider Enumeration Date | 01/12/2016 |
| Last Update Date | 03/28/2016 |
| Medicare PECOS PAC ID | 7214236660 |
|---|---|
| Medicare Enrollment ID | O20160506000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982060562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TF0000X | Psychologist - Family | (* (Not Available)) | Primary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Derainey R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740575075 PECOS PAC ID: 5991973182 Enrollment ID: I20110713000598 |
Health Resources Of Arkansas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 Highway 14 South, #1, Yellville, AR 72687 Phone: 870-449-5177 Fax: 870-449-5178 | |
Health Resources Of Arkansas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 Highway 14 S #1, Yellville, AR 72680 Phone: 870-793-8900 |