Arcare79 | |
1600 West Holland St Ste 202 White Hall AR 71602-3023 | |
(870) 247-7088 | |
(870) 247-7089 |
Full Name | Arcare79 |
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Speciality | Clinic/Center |
Location | 1600 West Holland St, White Hall, 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 |
---|---|
Arcare79 Po Box 497 Augusta AR 72006-0497 Ph: (870) 347-2534 | Arcare79 1600 West Holland St Ste 202 White Hall AR 71602-3023 Ph: (870) 247-7088 |
NPI Number | 1982221065 |
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Provider Enumeration Date | 07/06/2020 |
Last Update Date | 01/22/2024 |
Medicare PECOS PAC ID | 2567370620 |
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Medicare Enrollment ID | O20210308000580 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982221065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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