| Aledade Care Solutions Of Arkansas Pa | |
|
900 Se 5th St Bentonville AR 72712-6030 | |
| () - | |
| Not Available |
| Full Name | Aledade Care Solutions Of Arkansas Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 900 Se 5th St, Bentonville, Arkansas |
| Authorized Official Name and Position | Jason Lofton (OWNER) |
| Authorized Official Contact | 8702795009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aledade Care Solutions Of Arkansas Pa 900 Se 5th St Bentonville AR 72712-6030 Ph: () - | Aledade Care Solutions Of Arkansas Pa 900 Se 5th St Bentonville AR 72712-6030 Ph: () - |
| NPI Number | 1215770995 |
|---|---|
| Provider Enumeration Date | 06/18/2024 |
| Last Update Date | 06/18/2024 |
| Medicare PECOS PAC ID | 9830638824 |
|---|---|
| Medicare Enrollment ID | O20240821004951 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215770995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jason Lofton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700892734 PECOS PAC ID: 3971605494 Enrollment ID: I20070301000078 |
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