Baptist Health | |
1234 S Main St Malvern AR 72104-5226 | |
(501) 337-9066 | |
Not Available |
Full Name | Baptist Health |
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Speciality | Clinic/Center |
Location | 1234 S Main St, Malvern, 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 9601 Baptist Health Dr Little Rock AR 72205-6321 Ph: (501) 202-2080 | Baptist Health 1234 S Main St Malvern AR 72104-5226 Ph: (501) 337-9066 |
NPI Number | 1477201937 |
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Provider Enumeration Date | 03/14/2022 |
Last Update Date | 03/14/2022 |
Medicare PECOS PAC ID | 0648177949 |
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Medicare Enrollment ID | O20220515000007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477201937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Baptist Health Family Clinic Malvern Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1234 S Main St, Malvern, AR 72104 Phone: 501-337-9066 Fax: 501-332-5265 |