| Arcare 17 | |
|
821 East Park Street Hwy 70 Carlisle AR 72024-9024 | |
| (870) 552-7303 | |
| (870) 552-7719 |
| Full Name | Arcare 17 |
|---|---|
| Speciality | Clinic/Center |
| Location | 821 East Park Street Hwy 70, Carlisle, Arkansas |
| Authorized Official Name and Position | Steven F Collier (CEO) |
| Authorized Official Contact | 8703472534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arcare 17 Po Box 497 Augusta AR 72006-0497 Ph: (870) 552-7303 | Arcare 17 821 East Park Street Hwy 70 Carlisle AR 72024-9024 Ph: (870) 552-7303 |
| NPI Number | 1033170576 |
|---|---|
| Provider Enumeration Date | 03/31/2006 |
| Last Update Date | 01/14/2021 |
| Medicare PECOS PAC ID | 2567370620 |
|---|---|
| Medicare Enrollment ID | O20100309000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033170576 | NPI | - | NPPES |
| 123298749 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Lewis Cook Drug Store Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 North Court Street, Carlisle, AR 72024 Phone: 870-552-7837 Fax: 870-552-7419 |