College Station Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in College Station, Arkansas. The current practice location for College Station Center is 4206 Frazier Pike, College Station, Arkansas. For appointments, you can reach them via phone at
(501) 490-2440. The mailing address for College Station Center is Po Box 1285, Pine Bluff, Arkansas and phone number is (870) 543-2380.
College Station Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1932305737. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(501) 490-2440.
Primary Care Clinic Profile
| Full Name | College Station Center |
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| Speciality | Clinic/Center |
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| Location | 4206 Frazier Pike, College Station, Arkansas |
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| Authorized Official Name and Position | Larnell W Davis (EXECUTIVE DIRECTOR) |
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| Authorized Official Contact | 8705432380 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
College Station Center
Po Box 1285
Pine Bluff
AR 71613-1285
Ph: (870) 543-2380 | College Station Center
4206 Frazier Pike
College Station
AR 72053
Ph: (501) 490-2440 |
NPI Details:
| NPI Number | 1932305737 |
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| Provider Enumeration Date | 06/27/2007 |
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| Last Update Date | 07/20/2007 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 5193634509 |
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| Medicare Enrollment ID | O20100614000227 |
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Medical Identifiers
Medical identifiers for College Station Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932305737 | NPI | - | NPPES |
| 122642749 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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