Amc Fqhc Inc | |
201 S Bay Dr Bay AR 72411-9482 | |
(870) 770-1920 | |
(870) 994-7488 |
Full Name | Amc Fqhc Inc |
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Speciality | Family Medicine |
Location | 201 S Bay Dr, Bay, Arkansas |
Authorized Official Name and Position | Monya York (CONTROLLER) |
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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Amc Fqhc Inc 4196 Highway 62 412 Ste A Hardy AR 72542-8002 Ph: (870) 856-1202 | Amc Fqhc Inc 201 S Bay Dr Bay AR 72411-9482 Ph: (870) 770-1920 |
NPI Number | 1720733124 |
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Provider Enumeration Date | 02/15/2022 |
Last Update Date | 05/09/2023 |
Medicare PECOS PAC ID | 5496142978 |
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Medicare Enrollment ID | O20220502001586 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720733124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Mark Hahn |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609895911 PECOS PAC ID: 3375584931 Enrollment ID: I20050513000647 |
Provider Name | Sara Dawn Bayird |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790136547 PECOS PAC ID: 9032401229 Enrollment ID: I20160708000652 |
Provider Name | Ellen Weseli Ward |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104478585 PECOS PAC ID: 5092042382 Enrollment ID: I20190808003450 |
Provider Name | Wanda Faye Mooney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316557705 PECOS PAC ID: 5698190684 Enrollment ID: I20200807001805 |
Provider Name | Hailey A Prince |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316533821 PECOS PAC ID: 2769897461 Enrollment ID: I20210210001220 |
Bradley Bibb Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 S Bay Dr, Bay, AR 72411 Phone: 870-770-1920 Fax: 870-994-7488 |