Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 114 Ray St, Newport, Arkansas |
Authorized Official Name and Position | Steven 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 |
---|---|
Po Box 497 Augusta AR 72006-0497 Ph: (870) 347-2534 | 114 Ray St Newport AR 72112-4260 Ph: (870) 523-2944 |
NPI Number | 1255392957 |
---|---|
Provider Enumeration Date | 03/31/2006 |
Last Update Date | 01/14/2021 |
Medicare PECOS PAC ID | 2567370620 |
---|---|
Medicare Enrollment ID | O20150630001394 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255392957 | NPI | - | NPPES |
136326749 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Doctors Health Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 Mclain St, Newport, AR 72112 Phone: 870-523-3900 Fax: 870-523-3902 | |
Wade Falwell, M.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Mclain St, Suite G, Newport, AR 72112 Phone: 870-523-3053 Fax: 870-523-3637 | |
Guilford M. Dudley, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Malcolm Ave, Suite B, Newport, AR 72112 Phone: 870-512-2522 Fax: 870-512-2525 |