| Arcare135 | |
|
145 N Curtis Ave Pea Ridge AR 72751-3407 | |
| (479) 451-0579 | |
| (479) 451-0297 |
| Full Name | Arcare135 |
|---|---|
| Speciality | Clinic/Center |
| Location | 145 N Curtis Ave, Pea Ridge, 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 |
|---|---|
| Arcare135 Po Box 497 Augusta AR 72006-0497 Ph: (870) 347-2534 | Arcare135 145 N Curtis Ave Pea Ridge AR 72751-3407 Ph: (479) 451-0579 |
| NPI Number | 1073144028 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 10/09/2020 |
| Medicare PECOS PAC ID | 2567370620 |
|---|---|
| Medicare Enrollment ID | O20200319000211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073144028 | NPI | - | NPPES |
| 239378749 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Community Clinic Pea Ridge Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1923 W Pickens Road, Pea Ridge, AR 72751 Phone: 479-751-7417 Fax: 479-751-4898 |