Advanced Healthcare | |
2111 S Old Missouri Rd Ste E Springdale AR 72764-8748 | |
(479) 571-2273 | |
(479) 571-2226 |
Full Name | Advanced Healthcare |
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Speciality | Nurse Practitioner |
Location | 2111 S Old Missouri Rd Ste E, Springdale, Arkansas |
Authorized Official Name and Position | Seth Garner (OWNER) |
Authorized Official Contact | 4795712225 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Healthcare Po Box 698 Fayetteville AR 72702-0698 Ph: (479) 571-2273 | Advanced Healthcare 2111 S Old Missouri Rd Ste E Springdale AR 72764-8748 Ph: (479) 571-2273 |
NPI Number | 1558476564 |
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Provider Enumeration Date | 08/20/2006 |
Last Update Date | 03/06/2019 |
Medicare PECOS PAC ID | 3971678350 |
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Medicare Enrollment ID | O20080819000944 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558476564 | NPI | - | NPPES |
164279002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Primary |
Provider Name | Seth C Garner |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1871554410 PECOS PAC ID: 7012903057 Enrollment ID: I20040423000748 |
Provider Name | Seth C Garner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871554410 PECOS PAC ID: 7012903057 Enrollment ID: I20140707000264 |
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Ozark Senior Healthcare, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 S Thompson St Ste 4a, Springdale, AR 72764 Phone: 794-459-9004 Fax: 479-213-8142 | |
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