| Eastside Women's Health | |
|
2713 S 74th St Ste 301 Mercy Tower Fort Smith AR 72903-5155 | |
| (479) 434-3727 | |
| Not Available |
| Full Name | Eastside Women's Health |
|---|---|
| Speciality | Clinic/center |
| Location | 2713 S 74th St Ste 301, Fort Smith, Arkansas |
| Authorized Official Name and Position | Amy Lee Plunkett (BUSINESS OWNER) |
| Authorized Official Contact | 4794343727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Women's Health 2713 S 74th St Ste 301 Mercy Tower Fort Smith AR 72903-5155 Ph: (479) 434-3727 | Eastside Women's Health 2713 S 74th St Ste 301 Mercy Tower Fort Smith AR 72903-5155 Ph: (479) 434-3727 |
| NPI Number | 1801172937 |
|---|---|
| Provider Enumeration Date | 11/03/2011 |
| Last Update Date | 11/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801172937 | NPI | - | NPPES |
| 200041850A | Medicaid | OK | |
| 154408758 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 34110000101 (Arkansas) | Primary |
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