| Community Family Medical Llc | |
|
1139 North Highway 77 Marion AR 72364-9027 | |
| (870) 559-2480 | |
| (870) 559-2555 |
| Full Name | Community Family Medical Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1139 North Highway 77, Marion, Arkansas |
| Authorized Official Name and Position | Hilary Hartwig (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 8705592480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Family Medical Llc 1139 North Highway 77 Marion AR 72364-9027 Ph: (870) 559-2480 | Community Family Medical Llc 1139 North Highway 77 Marion AR 72364-9027 Ph: (870) 559-2480 |
| NPI Number | 1265098552 |
|---|---|
| Provider Enumeration Date | 05/13/2019 |
| Last Update Date | 05/13/2019 |
| Medicare PECOS PAC ID | 0648601351 |
|---|---|
| Medicare Enrollment ID | O20200513002342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265098552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Hilary D Hartwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366828378 PECOS PAC ID: 1355600057 Enrollment ID: I20180125000073 |
| Provider Name | Lana S Headley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275173544 PECOS PAC ID: 5890119937 Enrollment ID: I20200722000110 |
| Provider Name | Robin Lynne Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174134019 PECOS PAC ID: 8426460981 Enrollment ID: I20201208000881 |
| Provider Name | Samantha D Devazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861075939 PECOS PAC ID: 6507263977 Enrollment ID: I20210928001370 |
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