| Cowherd Family Medical Center, Pa | |
|
301 Southridge Blvd Suite A Heber Springs AR 72543-8875 | |
| (501) 362-0500 | |
| (501) 362-0501 |
| Full Name | Cowherd Family Medical Center, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 301 Southridge Blvd, Heber Springs, Arkansas |
| Authorized Official Name and Position | Beth Clegg (CODER/BILLING ADMINISTRATOR) |
| Authorized Official Contact | 5013620500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cowherd Family Medical Center, Pa Po Box 1678 Heber Springs AR 72543-1678 Ph: (501) 362-0500 | Cowherd Family Medical Center, Pa 301 Southridge Blvd Suite A Heber Springs AR 72543-8875 Ph: (501) 362-0500 |
| NPI Number | 1780622241 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 09/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780622241 | NPI | - | NPPES |
| DA1227 | Other | AR | RAILROAD MEDICARE NUMBER |
| 149835002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Arkansas) | Primary |
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