| Clarksville Medical Group, P.a. | |
|
601 W Mckennon St Clarksville AR 72830-3523 | |
| (479) 754-8384 | |
| (479) 754-7141 |
| Full Name | Clarksville Medical Group, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 601 W Mckennon St, Clarksville, Arkansas |
| Authorized Official Name and Position | Leanna J Perrett (OFFICE MANAGER) |
| Authorized Official Contact | 4797548384 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarksville Medical Group, P.a. Po Box 668 Clarksville AR 72830-0668 Ph: (479) 754-8384 | Clarksville Medical Group, P.a. 601 W Mckennon St Clarksville AR 72830-3523 Ph: (479) 754-8384 |
| NPI Number | 1447253810 |
|---|---|
| Provider Enumeration Date | 05/31/2005 |
| Last Update Date | 07/06/2010 |
| Medicare PECOS PAC ID | 1254405970 |
|---|---|
| Medicare Enrollment ID | O20080729000713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447253810 | NPI | - | NPPES |
| 56716 | Other | AR | BLUE CROSS BLUE SHEILD |
| 103094002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MC-0283 (Arkansas) | Primary |
| Provider Name | John C Dunham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487624896 PECOS PAC ID: 3577576917 Enrollment ID: I20060801000230 |
| Provider Name | Sarah M Woodruff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578663696 PECOS PAC ID: 8921153172 Enrollment ID: I20090911000331 |
| Provider Name | Mary Janell Burch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174593446 PECOS PAC ID: 0941374664 Enrollment ID: I20091208000541 |
| Provider Name | Jess E Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285042259 PECOS PAC ID: 8729300520 Enrollment ID: I20141205001239 |
| Provider Name | Catherine S Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093254294 PECOS PAC ID: 0941587653 Enrollment ID: I20170508000158 |
| Provider Name | Kayla R Metz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891375838 PECOS PAC ID: 6002225075 Enrollment ID: I20210503002318 |
| Provider Name | James Andrew Henry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982165692 PECOS PAC ID: 7911306444 Enrollment ID: I20230816002775 |
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 Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Professional Park Dr, Clarksville, AR 72830 Phone: 479-705-8181 Fax: 479-705-0041 | |
Holistic Health And Hydration, Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 S Cravens St, Clarksville, AR 72830 Phone: 479-774-6945 |