| Bivins Family Medicine, Pa | |
|
101 Ely Dr Heber Springs AR 72543-2836 | |
| (501) 362-6000 | |
| (501) 362-6542 |
| Full Name | Bivins Family Medicine, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Ely Dr, Heber Springs, Arkansas |
| Authorized Official Name and Position | Franklin G Bivins (OWNER) |
| Authorized Official Contact | 5013626000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bivins Family Medicine, Pa 101 Ely Dr Heber Springs AR 72543-2836 Ph: (501) 362-6000 | Bivins Family Medicine, Pa 101 Ely Dr Heber Springs AR 72543-2836 Ph: (501) 362-6000 |
| NPI Number | 1841269917 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 11/29/2007 |
| Medicare PECOS PAC ID | 5193914737 |
|---|---|
| Medicare Enrollment ID | O20110112000696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841269917 | NPI | - | NPPES |
| 110131456 | Other | AR | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C7660 (Arkansas) | Primary |
| Provider Name | Franklin Bivins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427038082 PECOS PAC ID: 1355530908 Enrollment ID: I20110112000842 |
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