| Cypert Ridge Family Practice Clinic | |
|
812 Newman Dr Suite B Helena AR 72342-8950 | |
| (870) 338-8308 | |
| (870) 338-7702 |
| Full Name | Cypert Ridge Family Practice Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 812 Newman Dr, Helena, Arkansas |
| Authorized Official Name and Position | Carol Catlett (BUSINESS MANAGER) |
| Authorized Official Contact | 8703388308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cypert Ridge Family Practice Clinic Po Box 769 Helena AR 72342-0769 Ph: (870) 338-8308 | Cypert Ridge Family Practice Clinic 812 Newman Dr Suite B Helena AR 72342-8950 Ph: (870) 338-8308 |
| NPI Number | 1497724314 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 06/24/2008 |
| Medicare PECOS PAC ID | 9931254497 |
|---|---|
| Medicare Enrollment ID | O20090904000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497724314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Scott A Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811963325 PECOS PAC ID: 5395890859 Enrollment ID: I20090904000252 |
| Provider Name | Leigh Ann Guest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053544015 PECOS PAC ID: 4789832510 Enrollment ID: I20130418000078 |
| Provider Name | Monica Shea Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518362839 PECOS PAC ID: 3476825670 Enrollment ID: I20180508000187 |
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