| Baptist Health Family Clinic - Caddo Valley | |
|
10 Montgomery Drive Caddo Valley AR 71923 | |
| (870) 245-2198 | |
| Not Available |
| Full Name | Baptist Health Family Clinic - Caddo Valley |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 Montgomery Drive, Caddo Valley, Arkansas |
| Authorized Official Name and Position | Troy Wells (PRESIDENT) |
| Authorized Official Contact | 5012022080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Health Family Clinic - Caddo Valley 9601 Baptist Health Drive Little Rock AR 72205 Ph: (501) 202-2080 | Baptist Health Family Clinic - Caddo Valley 10 Montgomery Drive Caddo Valley AR 71923 Ph: (870) 245-2198 |
| NPI Number | 1528478955 |
|---|---|
| Provider Enumeration Date | 05/07/2014 |
| Last Update Date | 07/10/2018 |
| Medicare PECOS PAC ID | 0648177949 |
|---|---|
| Medicare Enrollment ID | O20140825001220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528478955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Arkansas) | Primary |
Baptist Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Montgomery Drive, Caddo Valley, AR 71923 Phone: 870-245-2198 |