Bailey Primary Care Llc | |
109b Professional Plz Helena AR 72342-8954 | |
(870) 228-1480 | |
(870) 228-1475 |
Full Name | Bailey Primary Care Llc |
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Speciality | Family Medicine |
Location | 109b Professional Plz, Helena, Arkansas |
Authorized Official Name and Position | Thomas O Bailey (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 8702281480 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bailey Primary Care Llc Po Box 2660 West Helena AR 72390-0660 Ph: (870) 228-1480 | Bailey Primary Care Llc 109b Professional Plz Helena AR 72342-8954 Ph: (870) 228-1480 |
NPI Number | 1346946654 |
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Provider Enumeration Date | 02/07/2023 |
Last Update Date | 02/07/2023 |
Medicare PECOS PAC ID | 7315312097 |
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Medicare Enrollment ID | O20230411001993 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346946654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Thomas O Bailey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851403422 PECOS PAC ID: 0547366395 Enrollment ID: I20070510000600 |
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