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277 Main Street Ste 2 Mammoth Spring AR 72554 | |
(870) 907-7024 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 277 Main Street, Mammoth Spring, Arkansas |
Authorized Official Name and Position | Debra Henry (CFO) |
Authorized Official Contact | 8705081003 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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624 Hospital Dr Mountain Home AR 72653-2955 Ph: (870) 907-7024 | 277 Main Street Ste 2 Mammoth Spring AR 72554 Ph: (870) 907-7024 |
NPI Number | 1689432304 |
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Provider Enumeration Date | 03/07/2024 |
Last Update Date | 03/08/2024 |
Medicare PECOS PAC ID | 0941507677 |
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Medicare Enrollment ID | O20190107000951 |
Identifier | Type | State | Issuer |
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1689432304 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Christopher Cochran |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649359076 PECOS PAC ID: 5597893388 Enrollment ID: I20100515000059 |
Provider Name | Sally Kearstin Hambelton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407366768 PECOS PAC ID: 8123388725 Enrollment ID: I20240918000371 |
Family Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Main St, Ste 4, Mammoth Spring, AR 72554 Phone: 870-625-3111 Fax: 870-625-3118 | |
Baxter County Regional Hospital, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Main St Ste 4, Mammoth Spring, AR 72554 Phone: 870-625-3111 | |
Baxter Regional Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 277 Main Street, Mammoth Spring, AR 72554 Phone: 870-269-3455 | |