Dba Health Matters Fmc | |
1107 E Matthews Ave Ste 103 Jonesboro AR 72401-4331 | |
(870) 935-0700 | |
(870) 935-0706 |
Full Name | Dba Health Matters Fmc |
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Speciality | Clinic/Center |
Location | 1107 E Matthews Ave Ste 103, Jonesboro, Arkansas |
Authorized Official Name and Position | Wendy L Spanos (OWNER) |
Authorized Official Contact | 8709350700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dba Health Matters Fmc 1107 E Matthews Ave Ste 103 Jonesboro AR 72401-4331 Ph: (870) 935-0700 | Dba Health Matters Fmc 1107 E Matthews Ave Ste 103 Jonesboro AR 72401-4331 Ph: (870) 935-0700 |
NPI Number | 1194876730 |
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Provider Enumeration Date | 01/12/2007 |
Last Update Date | 07/31/2013 |
Medicare PECOS PAC ID | 3678679941 |
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Medicare Enrollment ID | O20070502000514 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194876730 | NPI | - | NPPES |
163875002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Wendy Spanos |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1629037585 PECOS PAC ID: 7517063894 Enrollment ID: I20070502000584 |
Provider Name | Meagan Brittany Farley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386986255 PECOS PAC ID: 8224337860 Enrollment ID: I20170919003616 |
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