| Baptist Health Family Clinic Hazen | |
|
201 S Livermore St Hazen AR 72064 | |
| (870) 255-3954 | |
| (870) 255-3989 |
| Full Name | Baptist Health Family Clinic Hazen |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 S Livermore St, Hazen, 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 Hazen 11001 Executive Center Drive Suite 200 Little Rock AR 72211-4393 Ph: (501) 812-7800 | Baptist Health Family Clinic Hazen 201 S Livermore St Hazen AR 72064 Ph: (870) 255-3954 |
| NPI Number | 1528265295 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 07/07/2017 |
| Medicare PECOS PAC ID | 3870659246 |
|---|---|
| Medicare Enrollment ID | O20091120000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528265295 | NPI | - | NPPES |
| 136428729 | Medicaid | AR | |
| 201478729 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Arkansas) | Primary |
Arcare 40 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 705 Hwy 63, Hazen, AR 72064 Phone: 870-255-3696 Fax: 870-552-7719 |