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2178 Highway 62 412 Highland AR 72542-9478 | |
| (870) 994-2202 | |
| (870) 994-2328 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 2178 Highway 62 412, Highland, Arkansas |
| Authorized Official Name and Position | Sydney Stevens (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 8708573334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 83 Corning AR 72422-0083 Ph: (870) 857-3334 | 2178 Highway 62 412 Highland AR 72542-9478 Ph: (870) 994-2202 |
| NPI Number | 1962824672 |
|---|---|
| Provider Enumeration Date | 01/15/2014 |
| Last Update Date | 01/23/2025 |
| Medicare PECOS PAC ID | 0648184218 |
|---|---|
| Medicare Enrollment ID | O20140325000766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962824672 | NPI | - | NPPES |
| 205760749 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
1st Choice Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2178 Hwy 62/412, Highland, AR 72542 Phone: 870-857-3334 | |
Garner Family Medical Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1995 Highway 62 412, Highland, AR 72542 Phone: 870-856-5620 Fax: 870-856-5623 | |
Dr. George W. Jackson Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1440 Highway 62 412, Highland, AR 72542 Phone: 870-856-6000 Fax: 870-856-6001 | |
Scheel Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1932 Highway 62 412, Highland, AR 72542 Phone: 870-955-5058 |