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1301 Highway 62 E Mountain Home AR 72653-2708 | |
(870) 970-7140 | |
(870) 701-3181 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1301 Highway 62 E, Mountain Home, Arkansas |
Authorized Official Name and Position | Steven Collier (CEO) |
Authorized Official Contact | 8703473300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 497 Augusta AR 72006-0497 Ph: (870) 347-2534 | 1301 Highway 62 E Mountain Home AR 72653-2708 Ph: (870) 970-7140 |
NPI Number | 1942889027 |
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Provider Enumeration Date | 04/06/2021 |
Last Update Date | 07/08/2021 |
Medicare PECOS PAC ID | 2567370620 |
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Medicare Enrollment ID | O20211025001859 |
Identifier | Type | State | Issuer |
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1942889027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Regional Family Medicine Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 630 Burnett Dr, Mountain Home, AR 72653 Phone: 870-425-6971 Fax: 870-508-8900 | |
Yourpersonalmd.com Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S College St, Suite 3, Mountain Home, AR 72653 Phone: 870-424-9763 Fax: 870-424-9762 | |