1st Choice Healthcare | |
1300 Creason Rd Corning AR 72422-1716 | |
(870) 857-3399 | |
(870) 857-3301 |
Full Name | 1st Choice Healthcare |
---|---|
Speciality | Clinic/Center |
Location | 1300 Creason Rd, Corning, 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 |
---|---|
1st Choice Healthcare Po Box 83 Corning AR 72422-0083 Ph: (870) 857-3334 | 1st Choice Healthcare 1300 Creason Rd Corning AR 72422-1716 Ph: (870) 857-3399 |
NPI Number | 1942256508 |
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Provider Enumeration Date | 05/25/2006 |
Last Update Date | 12/14/2023 |
Medicare PECOS PAC ID | 0648184218 |
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Medicare Enrollment ID | O20100427000059 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942256508 | NPI | - | NPPES |
124796749 | Medicaid | AR | |
5B451 | Other | AR | AR BCBS PROVIDER NUMBER |
507882009 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Carrie Theresa Hunter |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841257813 PECOS PAC ID: 0143211805 Enrollment ID: I20040520001340 |
Provider Name | Juan B Cazano |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598705683 PECOS PAC ID: 5991770810 Enrollment ID: I20040901001271 |
Provider Name | Rebecca P Phillips |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790751329 PECOS PAC ID: 9931148780 Enrollment ID: I20050430000060 |
Provider Name | Brandon D Murphy |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881624039 PECOS PAC ID: 9638112162 Enrollment ID: I20050606001199 |
Provider Name | Sandra Green |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538393400 PECOS PAC ID: 4385773571 Enrollment ID: I20100526000758 |
Provider Name | Darrell Hutchison |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1962441436 PECOS PAC ID: 8628192390 Enrollment ID: I20100901000785 |
Provider Name | Leah Privett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669637468 PECOS PAC ID: 0446415178 Enrollment ID: I20120703000374 |
Provider Name | Calixto Cazano |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114289899 PECOS PAC ID: 3971750449 Enrollment ID: I20120906000336 |
Provider Name | Tracey L Frier |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437460615 PECOS PAC ID: 6901041623 Enrollment ID: I20130401000315 |
Provider Name | Charrae G Burdin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477888105 PECOS PAC ID: 3375688633 Enrollment ID: I20130809000055 |
Provider Name | Danna L Guntharp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558636704 PECOS PAC ID: 8224252036 Enrollment ID: I20140618001165 |
Provider Name | James J Yancey |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1255627212 PECOS PAC ID: 4486893658 Enrollment ID: I20141110000422 |
Provider Name | Sonya K Goode |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700171600 PECOS PAC ID: 7113240631 Enrollment ID: I20150108000152 |
Provider Name | Abbey Taber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366861924 PECOS PAC ID: 1658695564 Enrollment ID: I20150126000931 |
Provider Name | Clinton Boone Smith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336585926 PECOS PAC ID: 1052636727 Enrollment ID: I20150221000220 |
Provider Name | Jennifer Sue Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003203274 PECOS PAC ID: 8527371400 Enrollment ID: I20150721002366 |
Provider Name | Jessica Maranda Reagan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477918738 PECOS PAC ID: 1052617438 Enrollment ID: I20160310001742 |
Provider Name | Stacy E Gibson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902249279 PECOS PAC ID: 9830402551 Enrollment ID: I20160809001467 |
Provider Name | Rickey L Mcgath |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760447353 PECOS PAC ID: 4587715172 Enrollment ID: I20170905001264 |
Provider Name | John Michael Throesch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306366984 PECOS PAC ID: 9739453366 Enrollment ID: I20170921000240 |
Provider Name | Krystal Dawn Upshaw |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1285046896 PECOS PAC ID: 8325342173 Enrollment ID: I20171017000718 |
Provider Name | Casey Duncan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679084826 PECOS PAC ID: 2264799626 Enrollment ID: I20171121000115 |
Provider Name | Amy Beth Hodges |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194178376 PECOS PAC ID: 1658630751 Enrollment ID: I20180118000645 |
Provider Name | Navin Mangroo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457748683 PECOS PAC ID: 7113233644 Enrollment ID: I20180730003465 |
Provider Name | Robert Travis Giddings |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407242498 PECOS PAC ID: 9739495920 Enrollment ID: I20180803000843 |
Provider Name | Brandi L Mays |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811462138 PECOS PAC ID: 1355687955 Enrollment ID: I20190117001947 |
Provider Name | Kimberly Ann Slusser |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1457905465 PECOS PAC ID: 1951639368 Enrollment ID: I20190822003945 |
Provider Name | Stephanie M Young |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1275180630 PECOS PAC ID: 3274862453 Enrollment ID: I20190913000327 |
Provider Name | Amanda Jane Billingsley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679926141 PECOS PAC ID: 3375838626 Enrollment ID: I20200205000969 |
Provider Name | Timothy Aaron Bass |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952945883 PECOS PAC ID: 1254761273 Enrollment ID: I20200415001085 |
Provider Name | Brandon Thornton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265004550 PECOS PAC ID: 9436552486 Enrollment ID: I20210728001472 |
Provider Name | Christina Marie Cooper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386216109 PECOS PAC ID: 8820492325 Enrollment ID: I20210805001234 |
Provider Name | Jessica Leann Martin |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033505136 PECOS PAC ID: 7416355441 Enrollment ID: I20211006000728 |
Provider Name | Haley Annette Tyler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114681053 PECOS PAC ID: 5294127544 Enrollment ID: I20220118000933 |
Provider Name | Mary Elizabeth Wright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598422263 PECOS PAC ID: 1052703956 Enrollment ID: I20220127000640 |
Provider Name | John E Coates |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528520228 PECOS PAC ID: 3375878739 Enrollment ID: I20220824003390 |
Provider Name | Patty Marie Bilbrey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386114908 PECOS PAC ID: 9931446176 Enrollment ID: I20221227000495 |
Provider Name | Garrett L Shepard |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477923803 PECOS PAC ID: 9830552678 Enrollment ID: I20230828002154 |
Provider Name | Spencer Hart |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1609512193 PECOS PAC ID: 4385029115 Enrollment ID: I20240307000316 |
Provider Name | Almalea B Miller |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841878824 PECOS PAC ID: 8123467693 Enrollment ID: I20240416004160 |
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