Baptist Health Family Clinic Gurdon | |
200 E Walnut St Gurdon AR 71743-1256 | |
(870) 353-2800 | |
(870) 353-2801 |
Full Name | Baptist Health Family Clinic Gurdon |
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Speciality | Clinic/Center |
Location | 200 E Walnut St, Gurdon, 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 |
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Baptist Health Family Clinic Gurdon 11001 Executive Center Drive Suite 200 Little Rock AR 72211-4393 Ph: (501) 812-7800 | Baptist Health Family Clinic Gurdon 200 E Walnut St Gurdon AR 71743-1256 Ph: (870) 353-2800 |
NPI Number | 1841598919 |
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Provider Enumeration Date | 03/14/2011 |
Last Update Date | 10/15/2015 |
Medicare PECOS PAC ID | 0648177949 |
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Medicare Enrollment ID | O20110617000161 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841598919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (Arkansas) | Primary |
Provider Name | Noland H Hagood |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346259124 PECOS PAC ID: 8628158110 Enrollment ID: I20100722000041 |
Provider Name | Bryan D Mcdonnell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710996517 PECOS PAC ID: 2264512755 Enrollment ID: I20100728000482 |
Provider Name | Coral D Heard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023378783 PECOS PAC ID: 6608026737 Enrollment ID: I20121025000220 |
Provider Name | Amber D Jones |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770923724 PECOS PAC ID: 1850529710 Enrollment ID: I20140122001787 |
Provider Name | Emily M Moore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730579921 PECOS PAC ID: 1658698352 Enrollment ID: I20150317002191 |
Provider Name | Charity M Lowdermilk |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902297559 PECOS PAC ID: 1759608953 Enrollment ID: I20150327001215 |
Provider Name | Daphne A Lambert |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497122113 PECOS PAC ID: 7911217559 Enrollment ID: I20151110002452 |
Provider Name | Leigh A Shockley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730546276 PECOS PAC ID: 6800192170 Enrollment ID: I20160314000397 |
Provider Name | Angela D Suttle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073058749 PECOS PAC ID: 5597049296 Enrollment ID: I20170224000253 |
Provider Name | Deonna L Whatley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164908034 PECOS PAC ID: 2163772427 Enrollment ID: I20180906002480 |
Provider Name | Lauren S Franks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285237305 PECOS PAC ID: 4082021175 Enrollment ID: I20210408001434 |
Provider Name | Leslie Collie |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679211734 PECOS PAC ID: 7719363985 Enrollment ID: I20220927000207 |
Baptist Health Family Clinic - Gurdon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Highway 67 S, Gurdon, AR 71743 Phone: 870-353-2800 Fax: 870-353-2801 |