| Dermott School Clinic | |
|
525 E Speedway St Dermott AR 71638-2322 | |
| (870) 538-3355 | |
| (855) 811-4203 |
| Full Name | Dermott School Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 525 E Speedway St, Dermott, Arkansas |
| Authorized Official Name and Position | Gary Allan Nichols (CEO) |
| Authorized Official Contact | 8709423000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dermott School Clinic Po Box 509 Dermott AR 71638-0509 Ph: (870) 942-3000 | Dermott School Clinic 525 E Speedway St Dermott AR 71638-2322 Ph: (870) 538-3355 |
| NPI Number | 1477004471 |
|---|---|
| Provider Enumeration Date | 10/14/2016 |
| Last Update Date | 07/10/2024 |
| Medicare PECOS PAC ID | 5193785590 |
|---|---|
| Medicare Enrollment ID | O20170201000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477004471 | NPI | - | NPPES |
| 217430749 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | 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 | |
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 | |
Dermott Family Practice, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 N Freeman St, Dermott, AR 71638 Phone: 870-538-3800 |