| Visit Healthcare | |
|
3025 Fountain Dr Conway AR 72034-3689 | |
| (501) 215-7331 | |
| Not Available |
| Full Name | Visit Healthcare |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3025 Fountain Dr, Conway, Arkansas |
| Authorized Official Name and Position | Benjamin Fanger (CHAIRMAN OF BOARD) |
| Authorized Official Contact | 4088906648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visit Healthcare 20 S Santa Cruz Ave Ste 300 Los Gatos CA 95030-6827 Ph: () - | Visit Healthcare 3025 Fountain Dr Conway AR 72034-3689 Ph: (501) 215-7331 |
| NPI Number | 1215642079 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Medicare PECOS PAC ID | 5395152318 |
|---|---|
| Medicare Enrollment ID | O20230811002873 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215642079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jamie Michelle Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912320946 PECOS PAC ID: 7719118488 Enrollment ID: I20140321000286 |
| Provider Name | Angela Campagna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568949899 PECOS PAC ID: 1759620636 Enrollment ID: I20190312001263 |
| Provider Name | Garrett Samuel Collums |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710763990 PECOS PAC ID: 1557719226 Enrollment ID: I20231120001335 |
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