Cooper Clinic Pa | |
6801 Rogers Ave Fort Smith AR 72903-4067 | |
(479) 274-2000 | |
Not Available |
Full Name | Cooper Clinic Pa |
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Speciality | Clinic/Center |
Location | 6801 Rogers Ave, Fort Smith, Arkansas |
Authorized Official Name and Position | Curtis D Ralston (CEO) |
Authorized Official Contact | 4792742000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cooper Clinic Pa Po Box 3528 Fort Smith AR 72913-3528 Ph: (479) 274-2000 | Cooper Clinic Pa 6801 Rogers Ave Fort Smith AR 72903-4067 Ph: (479) 274-2000 |
NPI Number | 1154341931 |
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Provider Enumeration Date | 07/21/2006 |
Last Update Date | 09/01/2015 |
Medicare PECOS PAC ID | 1153219621 |
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Medicare Enrollment ID | O20071120000232 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154341931 | NPI | - | NPPES |
105693002 | Medicaid | AR | |
C50280 | Other | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | MC-0254 (Arkansas) | Primary |
Provider Name | Michael D Coleman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982634580 PECOS PAC ID: 8123092509 Enrollment ID: I20040823000214 |
Provider Name | Narender Rao Gorukanti |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1184659054 PECOS PAC ID: 7416091186 Enrollment ID: I20110629000171 |
Provider Name | Jeffrey K Evans |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1588683510 PECOS PAC ID: 8628118288 Enrollment ID: I20150922000038 |
Provider Name | Dumitru Rotaru |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1407042252 PECOS PAC ID: 2264601038 Enrollment ID: I20160912002151 |
Provider Name | John Hence Harp |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1487720744 PECOS PAC ID: 8729186218 Enrollment ID: I20161118000814 |
Healthmax Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12300 Highway 71 S, Suite A, Fort Smith, AR 72916 Phone: 479-755-6595 Fax: 479-755-6596 | |
Waldron Place Pediatric Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 202, Fort Smith, AR 72903 Phone: 479-452-8311 Fax: 479-452-5032 | |
Remedy Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 100, Fort Smith, AR 72903 Phone: 479-888-8305 Fax: 918-395-9149 | |