| Dermott Family Practice, Inc. | |
|
105 N Freeman St Dermott AR 71638-2304 | |
| (870) 538-3800 | |
| Not Available |
| Full Name | Dermott Family Practice, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 105 N Freeman St, Dermott, Arkansas |
| Authorized Official Name and Position | Carolyn E. Vogler (PRESIDENT) |
| Authorized Official Contact | 8705383800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dermott Family Practice, Inc. Po Box 227 Dermott AR 71638-0227 Ph: (870) 538-3800 | Dermott Family Practice, Inc. 105 N Freeman St Dermott AR 71638-2304 Ph: (870) 538-3800 |
| NPI Number | 1992979181 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 04/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992979181 | NPI | - | NPPES |
| 154472001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | E-3872 (Arkansas) | Primary |
Mainline Dermott Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 S School St, Dermott, AR 71638 Phone: 870-538-5296 Fax: 870-538-3701 | |
Dermott School Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 525 E Speedway St, Dermott, AR 71638 Phone: 870-538-3355 Fax: 855-811-4203 | |
Mainline Health Systems, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 South Strickland St, Dermott, AR 71638 Phone: 870-538-5414 Fax: 870-538-5412 |