| East Arkansas Family Health Center-marvell | |
|
1008 W Main St Marvell AR 72366-9486 | |
| (870) 735-3842 | |
| Not Available |
| Full Name | East Arkansas Family Health Center-marvell |
|---|---|
| Speciality | Clinic/Center |
| Location | 1008 W Main St, Marvell, Arkansas |
| Authorized Official Name and Position | Debbie Brown (BILLING/CREDENTIALING MANAGER) |
| Authorized Official Contact | 8707336388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Arkansas Family Health Center-marvell 900 N 7th St West Memphis AR 72301-2001 Ph: (870) 735-3842 | East Arkansas Family Health Center-marvell 1008 W Main St Marvell AR 72366-9486 Ph: (870) 735-3842 |
| NPI Number | 1508379249 |
|---|---|
| Provider Enumeration Date | 11/15/2017 |
| Last Update Date | 11/18/2020 |
| Medicare PECOS PAC ID | 1052390390 |
|---|---|
| Medicare Enrollment ID | O20171127000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508379249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Pillow Clinic @ Marvell Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 Main Street, Marvell, AR 72366 Phone: 870-829-2521 Fax: 870-829-2941 | |
Marvell Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 Main St, Marvell, AR 72366 Phone: 870-829-2521 | |
Pillow Clinic @ Marvell Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 Main St., Marvell, AR 72366 Phone: 870-829-2521 Fax: 870-829-2941 |