| Enhanced Healthcare Nwa Inc | |
|
5102 W Pauline Whitaker Pkwy Ste 123 Rogers AR 72758-8365 | |
| (478) 278-2753 | |
| Not Available |
| Full Name | Enhanced Healthcare Nwa Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5102 W Pauline Whitaker Pkwy Ste 123, Rogers, Arkansas |
| Authorized Official Name and Position | Leah Carrington (CEO) |
| Authorized Official Contact | 8703706256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enhanced Healthcare Nwa Inc 5 Thackery Ln Bella Vista AR 72714-4501 Ph: (870) 370-6256 | Enhanced Healthcare Nwa Inc 5102 W Pauline Whitaker Pkwy Ste 123 Rogers AR 72758-8365 Ph: (478) 278-2753 |
| NPI Number | 1770284374 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 03/13/2023 |
| Medicare PECOS PAC ID | 2163887167 |
|---|---|
| Medicare Enrollment ID | O20230426002116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770284374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Leah M Carrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629453030 PECOS PAC ID: 2062712631 Enrollment ID: I20151203002431 |
| Provider Name | Priscilla Fincher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942528864 PECOS PAC ID: 6204135205 Enrollment ID: I20160426000745 |
| Provider Name | Marie L Hatfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558748657 PECOS PAC ID: 6608175567 Enrollment ID: I20160427000390 |
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