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1 Medical Dr Paragould AR 72450-4017 | |
(870) 236-2000 | |
(870) 236-5861 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1 Medical Dr, Paragould, 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 |
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Po Box 83 Corning AR 72422-0083 Ph: (870) 857-3334 | 1 Medical Dr Paragould AR 72450-4017 Ph: (870) 236-2000 |
NPI Number | 1730568189 |
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Provider Enumeration Date | 05/19/2015 |
Last Update Date | 08/16/2024 |
Medicare PECOS PAC ID | 0648184218 |
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Medicare Enrollment ID | O20151106000696 |
Identifier | Type | State | Issuer |
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1730568189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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