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10144 Highway 63 N Ste B Bono AR 72416 | |
(870) 520-6069 | |
(870) 994-7488 |
Full Name | |
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Speciality | Clinic/Center |
Location | 10144 Highway 63 N Ste B, Bono, Arkansas |
Authorized Official Name and Position | Monya York (DIRECTOR CREDENTIALING) |
Authorized Official Contact | 8708561202 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4196 Highway 62 412 Ste A Hardy AR 72542-8002 Ph: () - | 10144 Highway 63 N Ste B Bono AR 72416 Ph: (870) 520-6069 |
NPI Number | 1639562432 |
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Provider Enumeration Date | 03/18/2015 |
Last Update Date | 12/12/2024 |
Medicare PECOS PAC ID | 4789715285 |
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Medicare Enrollment ID | O20240912002176 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639562432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | E 4136 (Arkansas) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Medi-quick Walk-in Clinic, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10144 Highway 63 North, Suite A, Bono, AR 72416 Phone: 870-932-8600 Fax: 870-932-8601 |