Community Clinic Rogers Medical | |
1233 W Poplar St Rogers AR 72756-4245 | |
(479) 751-7417 | |
(479) 751-2878 |
Full Name | Community Clinic Rogers Medical |
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Speciality | Clinic/Center |
Location | 1233 W Poplar St, Rogers, 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 |
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Community Clinic Rogers Medical 614 E. Emma Avenue Suite 300 Springdale AR 72764-4469 Ph: (479) 751-7417 | Community Clinic Rogers Medical 1233 W Poplar St Rogers AR 72756-4245 Ph: (479) 751-7417 |
NPI Number | 1710160098 |
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Provider Enumeration Date | 12/10/2007 |
Last Update Date | 01/15/2020 |
Medicare PECOS PAC ID | 0042262495 |
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Medicare Enrollment ID | O20080205000232 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710160098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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