| Baptist Health Family Clinic Dewitt | |
|
1703 S Whitehead Dr De Witt AR 72042-2911 | |
| (870) 946-0300 | |
| (870) 946-0303 |
| Full Name | Baptist Health Family Clinic Dewitt |
|---|---|
| Speciality | Clinic/Center |
| Location | 1703 S Whitehead Dr, De Witt, 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 Dewitt 11001 Executive Center Drive Suite 200 Little Rock AR 72211-4393 Ph: (501) 812-7800 | Baptist Health Family Clinic Dewitt 1703 S Whitehead Dr De Witt AR 72042-2911 Ph: (870) 946-0300 |
| NPI Number | 1295932820 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 3870659246 |
|---|---|
| Medicare Enrollment ID | O20091118000727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295932820 | NPI | - | NPPES |
| 201481729 | Medicaid | AR | |
| 136428729 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Arkansas) | Primary |
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