| Community Clinic Fayetteville Medical | |
|
3162 W Martin Luther King Blvd Suites 13 & 14 Fayetteville AR 72704-7684 | |
| (479) 935-4834 | |
| (479) 751-2878 |
| Full Name | Community Clinic Fayetteville Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 3162 W Martin Luther King Blvd, Fayetteville, Arkansas |
| Authorized Official Name and Position | James Semingson (CEO) |
| Authorized Official Contact | 4797517417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Clinic Fayetteville Medical 614 E Emma Ave Suite 300 Springdale AR 72764-4634 Ph: (479) 751-7417 | Community Clinic Fayetteville Medical 3162 W Martin Luther King Blvd Suites 13 & 14 Fayetteville AR 72704-7684 Ph: (479) 935-4834 |
| NPI Number | 1013384288 |
|---|---|
| Provider Enumeration Date | 08/24/2015 |
| Last Update Date | 01/15/2020 |
| Medicare PECOS PAC ID | 0042262495 |
|---|---|
| Medicare Enrollment ID | O20160114000131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013384288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
K E Management Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 E Augustine Ln Ste 7, Fayetteville, AR 72703 Phone: 479-200-9812 Fax: 866-243-7203 | |
Bryan Abernathy Md Pa Dba Abernathy Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1806 N Crossover Rd, Suite 4, Fayetteville, AR 72701 Phone: 479-521-5603 Fax: 479-521-5773 | |
Truhealth Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703 Phone: 479-527-9966 Fax: 479-527-9677 | |
Washington County Hiv Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3270 N. Wimberly Drive, Fayetteville, AR 72703 Phone: 479-973-8450 Fax: 479-973-8452 | |
Arcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1792 E Joyce Blvd, Fayetteville, AR 72703 Phone: 501-500-5001 Fax: 501-500-5001 | |
Dr James Dunn Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4368 E Churchill Dr, Fayetteville, AR 72701 Phone: 479-442-4553 Fax: 479-251-1006 |