| Dardanelle Regional Medical Clinic | |
|
200 N 3rd St Ste 1 Dardanelle AR 72834-3802 | |
| (479) 229-6191 | |
| (479) 229-6194 |
| Full Name | Dardanelle Regional Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 200 N 3rd St Ste 1, Dardanelle, Arkansas |
| Authorized Official Name and Position | Brandy Talley (CONTROLLER) |
| Authorized Official Contact | 4792294677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dardanelle Regional Medical Clinic 200 N 3rd St Ste 1 Dardanelle AR 72834-3802 Ph: (479) 229-6191 | Dardanelle Regional Medical Clinic 200 N 3rd St Ste 1 Dardanelle AR 72834-3802 Ph: (479) 229-6191 |
| NPI Number | 1730737131 |
|---|---|
| Provider Enumeration Date | 08/28/2019 |
| Last Update Date | 11/09/2023 |
| Medicare PECOS PAC ID | 0345576500 |
|---|---|
| Medicare Enrollment ID | O20230711000936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730737131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Keith Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295732816 PECOS PAC ID: 1658405212 Enrollment ID: I20100818000119 |
| Provider Name | Natalie A Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912399452 PECOS PAC ID: 2163742263 Enrollment ID: I20150513000265 |
| Provider Name | Hailey Farris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447514310 PECOS PAC ID: 9537474762 Enrollment ID: I20150818004623 |
| Provider Name | Stephannie M Cawiezell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487020855 PECOS PAC ID: 6002118767 Enrollment ID: I20160112002239 |
| Provider Name | Katerina Lynn Devore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275040511 PECOS PAC ID: 0648530295 Enrollment ID: I20180131000403 |
| Provider Name | Maranda J Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215549217 PECOS PAC ID: 3870992126 Enrollment ID: I20210519000970 |
| Provider Name | Marcia Butler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477615490 PECOS PAC ID: 1759485220 Enrollment ID: I20210825000911 |
| Provider Name | Ross T Lenzen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497376453 PECOS PAC ID: 1254741705 Enrollment ID: I20220803003566 |
| Provider Name | Crystal Lynn Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629679279 PECOS PAC ID: 8022478957 Enrollment ID: I20230724002307 |
Ernest S. Sears, Jr., Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 N Front St, Dardanelle, AR 72834 Phone: 713-907-3867 Fax: 888-587-3512 | |
River Valley Medical Center Family Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1652 State Highway 22 W, Dardanelle, AR 72834 Phone: 318-629-5321 Fax: 318-629-5321 | |
Dardanelle Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N 3rd, Dardanelle, AR 72834 Phone: 479-229-2827 Fax: 479-229-6167 | |
River Valley Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 North Third Street, Dardanelle, AR 72834 Phone: 479-229-4677 Fax: 479-229-6162 | |
Access Medical Clinic Dardanelle Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 Phone: 479-229-3004 Fax: 870-994-7488 |