| Baptist Health Family Clinic Maumelle | |
|
1701 Club Manor Dr Suite 2 Maumelle AR 72113-7400 | |
| (501) 851-7400 | |
| (501) 851-4753 |
| Full Name | Baptist Health Family Clinic Maumelle |
|---|---|
| Speciality | Family Medicine |
| Location | 1701 Club Manor Dr, Maumelle, Arkansas |
| Authorized Official Name and Position | Will L Rusher (CEO) |
| Authorized Official Contact | 5018127500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Health Family Clinic Maumelle 11001 Executive Center Dr Ste 200 Little Rock AR 72211-4393 Ph: (501) 812-7215 | Baptist Health Family Clinic Maumelle 1701 Club Manor Dr Suite 2 Maumelle AR 72113-7400 Ph: (501) 851-7400 |
| NPI Number | 1124037866 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 04/11/2019 |
| Medicare PECOS PAC ID | 7911802079 |
|---|---|
| Medicare Enrollment ID | O20051222000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124037866 | NPI | - | NPPES |
| 129802002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Fred G Nagel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922016674 PECOS PAC ID: 5193726107 Enrollment ID: I20100416000355 |
| Provider Name | Laura J Farley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114381472 PECOS PAC ID: 9537457890 Enrollment ID: I20161019002222 |
| Provider Name | Rachael Constance Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013658822 PECOS PAC ID: 1052798980 Enrollment ID: I20220516001753 |
| Provider Name | Jalesia Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205580834 PECOS PAC ID: 6103208574 Enrollment ID: I20220802000148 |
Maumelle Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Pine Forest Dr, Ste 200, Maumelle, AR 72113 Phone: 501-803-9900 | |
Arcare32 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Millwood Cir Ste E, Maumelle, AR 72113 Phone: 501-802-9990 Fax: 501-803-9991 | |
Integrative Medical Center Of Arkansas Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Club Manor Dr, Suite D, Maumelle, AR 72113 Phone: 501-773-6318 Fax: 501-687-0489 | |
Achor Management Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1900 Club Manor Dr Ste 101a, Maumelle, AR 72113 Phone: 501-274-1130 Fax: 501-274-1131 | |
Lc Aesthetics & Wellness, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 Maumelle Valley Dr, Maumelle, AR 72113 Phone: 501-749-4944 | |
Jeff J. Carfagno, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1900 Club Manor, Suite 105, Maumelle, AR 72113 Phone: 501-851-8100 |