| 1st Choice Healthcare | |
|
201 Colonial Dr Walnut Ridge AR 72476-1410 | |
| (870) 886-5507 | |
| (870) 886-5632 |
| Full Name | 1st Choice Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 Colonial Dr, Walnut Ridge, 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 201 Colonial Dr Walnut Ridge AR 72476-1410 Ph: (870) 886-5507 |
| NPI Number | 1598711152 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 0648184218 |
|---|---|
| Medicare Enrollment ID | O20041227000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598711152 | NPI | - | NPPES |
| 5B451 | Other | AR | AR BCBS PROVIDER NUMBER |
| 155222749 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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