Arcare 59 | |
416 E Washington Ave Jonesboro AR 72401-3108 | |
(870) 333-5476 | |
(870) 333-5475 |
Full Name | Arcare 59 |
---|---|
Speciality | Clinic/Center |
Location | 416 E Washington Ave, Jonesboro, 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 |
---|---|
Arcare 59 Po Box 497 Augusta AR 72006-0497 Ph: (870) 347-2534 | Arcare 59 416 E Washington Ave Jonesboro AR 72401-3108 Ph: (870) 333-5476 |
NPI Number | 1154776532 |
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Provider Enumeration Date | 05/04/2016 |
Last Update Date | 01/14/2021 |
Medicare PECOS PAC ID | 2567370620 |
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Medicare Enrollment ID | O20160708000189 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154776532 | NPI | - | NPPES |
215462749 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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