Clinton Medical Clinic | |
2526 Highway 65 S Suite 203 Clinton AR 72031-6657 | |
(501) 745-4914 | |
(501) 745-6374 |
Full Name | Clinton Medical Clinic |
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Speciality | Clinic/Center |
Location | 2526 Highway 65 S, Clinton, Arkansas |
Authorized Official Name and Position | William Pack (CFO) |
Authorized Official Contact | 5014502112 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clinton Medical Clinic Po Box 9662 Conway AR 72033-9662 Ph: (501) 852-1363 | Clinton Medical Clinic 2526 Highway 65 S Suite 203 Clinton AR 72031-6657 Ph: (501) 745-4914 |
NPI Number | 1265421861 |
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Provider Enumeration Date | 10/17/2005 |
Last Update Date | 11/09/2023 |
Medicare PECOS PAC ID | 3173428414 |
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Medicare Enrollment ID | O20051107000571 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265421861 | NPI | - | NPPES |
126874002 | Medicaid | AR | |
128440729 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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