Earle Family Health Center | |
216 Arkansas St Earle AR 72331-2217 | |
(870) 735-3842 | |
Not Available |
Full Name | Earle Family Health Center |
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Speciality | Clinic/Center |
Location | 216 Arkansas St, Earle, Arkansas |
Authorized Official Name and Position | Susan Ward-jones (CEO) |
Authorized Official Contact | 8707336388 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Earle Family Health Center 900 N 7th St West Memphis AR 72301-2001 Ph: (870) 735-3842 | Earle Family Health Center 216 Arkansas St Earle AR 72331-2217 Ph: (870) 735-3842 |
NPI Number | 1912370198 |
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Provider Enumeration Date | 11/10/2015 |
Last Update Date | 11/18/2020 |
Medicare PECOS PAC ID | 1052390390 |
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Medicare Enrollment ID | O20160114002062 |
Identifier | Type | State | Issuer |
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1912370198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Holli Banks-giles |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689644478 PECOS PAC ID: 9335103142 Enrollment ID: I20041111001118 |
Provider Name | Patricia A Devine |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1396762977 PECOS PAC ID: 7315013232 Enrollment ID: I20080829000105 |
Provider Name | Susan Ward Jones |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851368740 PECOS PAC ID: 0941384663 Enrollment ID: I20091006000096 |
Provider Name | Valerie D Woodruff |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558594424 PECOS PAC ID: 4284774118 Enrollment ID: I20091228000041 |
Provider Name | Ellen Lee Speak |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285819227 PECOS PAC ID: 6901824093 Enrollment ID: I20110228000150 |
Provider Name | Tanja L Mead |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902903636 PECOS PAC ID: 9739115221 Enrollment ID: I20110805000467 |
Provider Name | Norman C Denton |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1881612059 PECOS PAC ID: 5496858516 Enrollment ID: I20120920000482 |
Provider Name | Shirley A Tanner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578784997 PECOS PAC ID: 7012159858 Enrollment ID: I20130807000923 |
Provider Name | Geraldine Campbell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144294646 PECOS PAC ID: 0244474583 Enrollment ID: I20130926000397 |
Provider Name | Geral D Towne |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295140374 PECOS PAC ID: 7517185598 Enrollment ID: I20140904002307 |
Provider Name | Ursula Desha Logan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760915813 PECOS PAC ID: 0648599936 Enrollment ID: I20170905002809 |
Provider Name | Lindsey Morgan Bryan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518443670 PECOS PAC ID: 0648528638 Enrollment ID: I20180808000589 |
Provider Name | Tameka L Smith-granberry |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619348703 PECOS PAC ID: 3779827969 Enrollment ID: I20181128002491 |
Provider Name | Phyllis Thompson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952808651 PECOS PAC ID: 5597005397 Enrollment ID: I20190313002821 |
Provider Name | Adrienne D Hatchett |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760838833 PECOS PAC ID: 2062747983 Enrollment ID: I20190716000250 |
Provider Name | Felica Shunta Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881256220 PECOS PAC ID: 4183953367 Enrollment ID: I20190913000328 |
Provider Name | Aleshia G Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407463938 PECOS PAC ID: 3577977123 Enrollment ID: I20210122001396 |
Provider Name | Cynthia Joyce Robinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982230421 PECOS PAC ID: 9133521602 Enrollment ID: I20210707002205 |
Provider Name | Racheal Mitchell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689021834 PECOS PAC ID: 0749572287 Enrollment ID: I20210713000236 |
Earle Family Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1605 Second Street, Earle, AR 72331 Phone: 870-792-8825 Fax: 870-792-8834 |