| Baptist Health Family Clinic- Perryville | |
|
518 N Fourche Ave Perryville AR 72126-9701 | |
| (501) 889-5543 | |
| (501) 889-5546 |
| Full Name | Baptist Health Family Clinic- Perryville |
|---|---|
| Speciality | Family Medicine |
| Location | 518 N Fourche Ave, Perryville, 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- Perryville 11001 Executive Center Dr Ste 200 Little Rock AR 72211-4393 Ph: (501) 812-7215 | Baptist Health Family Clinic- Perryville 518 N Fourche Ave Perryville AR 72126-9701 Ph: (501) 889-5543 |
| NPI Number | 1831289214 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 04/11/2019 |
| Medicare PECOS PAC ID | 7911802079 |
|---|---|
| Medicare Enrollment ID | O20040324000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831289214 | NPI | - | NPPES |
| 128272002 | Medicaid | AR | |
| 5388075 | Other | AR | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Melissa D Seme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609882497 PECOS PAC ID: 4183609142 Enrollment ID: I20040623000293 |
| Provider Name | Rainie R Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417456443 PECOS PAC ID: 4587926761 Enrollment ID: I20180328001300 |
Access Medical Clinic Arkansas Ltc Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1016 North Fourche Avenue, Perryville, AR 72126 Phone: 501-238-1284 |