| Arkadelphia Medical Clinic | |
|
2913 Cypress Rd Ste 100 Arkadelphia AR 71923-4251 | |
| (870) 246-2471 | |
| (870) 246-2476 |
| Full Name | Arkadelphia Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2913 Cypress Rd Ste 100, Arkadelphia, Arkansas |
| Authorized Official Name and Position | Will L Rusher (CEO) |
| Authorized Official Contact | 5018127500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arkadelphia Medical Clinic 11001 Executive Center Dr Ste 200 Little Rock AR 72211-4393 Ph: (501) 812-7215 | Arkadelphia Medical Clinic 2913 Cypress Rd Ste 100 Arkadelphia AR 71923-4251 Ph: (870) 246-2471 |
| NPI Number | 1447568373 |
|---|---|
| Provider Enumeration Date | 09/14/2010 |
| Last Update Date | 04/11/2019 |
| Medicare PECOS PAC ID | 7911802079 |
|---|---|
| Medicare Enrollment ID | O20101116000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447568373 | NPI | - | NPPES |
| 184562002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Noland H Hagood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346259124 PECOS PAC ID: 8628158110 Enrollment ID: I20100722000041 |
| Provider Name | Bryan D Mcdonnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710996517 PECOS PAC ID: 2264512755 Enrollment ID: I20100728000482 |
| Provider Name | Coral D Heard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023378783 PECOS PAC ID: 6608026737 Enrollment ID: I20121025000220 |
| Provider Name | Emily M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730579921 PECOS PAC ID: 1658698352 Enrollment ID: I20150317002191 |
| Provider Name | Charity M Lowdermilk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902297559 PECOS PAC ID: 1759608953 Enrollment ID: I20150327001215 |
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Baptist Health Specialty Clinic Arkadelphia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2915 Cypress Rd Ste D, Arkadelphia, AR 71923 Phone: 870-246-5097 Fax: 870-246-9693 | |
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Arkadelphia Clinic For Children And Young Adults, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2850 Twin Rivers Dr, Arkadelphia, AR 71923 Phone: 870-246-8036 Fax: 870-246-7164 | |
Arkadelphia Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3004 Pine St, Arkadelphia, AR 71923 Phone: 870-246-2471 Fax: 870-246-2476 | |
Baptist Health Family Clinic Arkadelphia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 Main St, Arkadelphia, AR 71923 Phone: 870-246-2431 Fax: 870-246-2434 |