| Wh Ks Medical Llc | |
|
702 Sw 8th Street Mail Stop 0445 Bentonville AR 72716-6209 | |
| (479) 360-0304 | |
| Not Available |
| Full Name | Wh Ks Medical Llc |
|---|---|
| Speciality | General Practice |
| Location | 702 Sw 8th Street, Bentonville, Arkansas |
| Authorized Official Name and Position | Julia Stover (ENROLLMENT MANAGER) |
| Authorized Official Contact | 9032806679 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wh Ks Medical Llc 702 Sw 8th Street Mail Stop 0445 Bentonville AR 72716-6209 Ph: () - | Wh Ks Medical Llc 702 Sw 8th Street Mail Stop 0445 Bentonville AR 72716-6209 Ph: (479) 360-0304 |
| NPI Number | 1033973037 |
|---|---|
| Provider Enumeration Date | 02/09/2024 |
| Last Update Date | 02/09/2024 |
| Certification Date | 02/09/2024 |
| Medicare PECOS PAC ID | 7719324235 |
|---|---|
| Medicare Enrollment ID | O20240503001672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033973037 | NPI | - | NPPES |
| Provider Name | Dana M Hasten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174653638 PECOS PAC ID: 4880592260 Enrollment ID: I20060201000192 |
| Provider Name | Arthur Rothstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477803393 PECOS PAC ID: 2062656101 Enrollment ID: I20130911000760 |
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