Community Clinic Siloam Springs Medical | |
500 S Mount Olive St Suite 200 Siloam Springs AR 72761-3602 | |
(479) 751-7417 | |
(479) 751-2878 |
Full Name | Community Clinic Siloam Springs Medical |
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Speciality | Clinic/Center |
Location | 500 S Mount Olive St, Siloam Springs, 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 Siloam Springs Medical 500 S Mount Olive St Suite 200 Siloam Springs AR 72761-3602 Ph: (479) 751-7417 | Community Clinic Siloam Springs Medical 500 S Mount Olive St Suite 200 Siloam Springs AR 72761-3602 Ph: (479) 751-7417 |
NPI Number | 1417197245 |
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Provider Enumeration Date | 03/06/2009 |
Last Update Date | 01/15/2020 |
Medicare PECOS PAC ID | 0042262495 |
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Medicare Enrollment ID | O20090513000347 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417197245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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