| Clarksville Family Medical Center | |
|
25 Professional Park Dr Clarksville AR 72830-4432 | |
| (479) 705-8181 | |
| (479) 705-0041 |
| Full Name | Clarksville Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 25 Professional Park Dr, Clarksville, Arkansas |
| Authorized Official Name and Position | Robert Noonan (OWNER) |
| Authorized Official Contact | 4797058181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarksville Family Medical Center 25 Professional Park Dr Clarksville AR 72830-4432 Ph: (479) 705-8181 | Clarksville Family Medical Center 25 Professional Park Dr Clarksville AR 72830-4432 Ph: (479) 705-8181 |
| NPI Number | 1477512127 |
|---|---|
| Provider Enumeration Date | 03/21/2006 |
| Last Update Date | 03/26/2014 |
| Medicare PECOS PAC ID | 5890892830 |
|---|---|
| Medicare Enrollment ID | O20070525000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477512127 | NPI | - | NPPES |
| 139044002 | Medicaid | AR | |
| 5F726 | Other | AR | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert F Noonan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902867070 PECOS PAC ID: 7719080837 Enrollment ID: I20070310000075 |
| Provider Name | Katie Dunkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447485727 PECOS PAC ID: 0446481303 Enrollment ID: I20140319000499 |
| Provider Name | Stephanie Metcalf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619297801 PECOS PAC ID: 4880825272 Enrollment ID: I20140328000287 |
| Provider Name | Sasha Renae Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861956922 PECOS PAC ID: 5395086482 Enrollment ID: I20190418002055 |
| Provider Name | Haley Duff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396304697 PECOS PAC ID: 6800209891 Enrollment ID: I20210112002798 |
Arkansas Health And Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2205 W Main St, Clarksville, AR 72830 Phone: 479-705-2539 Fax: 479-705-2540 | |
Clarksville Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 708 W Main St, Clarksville, AR 72830 Phone: 479-668-4909 Fax: 479-668-4881 | |
Access Medical Clinic Arkansas Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 S Rogers St, Clarksville, AR 72830 Phone: 479-746-7090 Fax: 479-476-7091 | |
Roxanne E. Marshall, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3 Medicine Dr, Clarksville, AR 72830 Phone: 479-754-6777 Fax: 479-754-5903 | |
Clarksville Medical Group, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 W Mckennon St, Clarksville, AR 72830 Phone: 479-754-8384 Fax: 479-754-7141 | |
Holistic Health And Hydration, Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 S Cravens St, Clarksville, AR 72830 Phone: 479-774-6945 |