| Enhanced Healthcare Wound Clinic Nwa Inc | |
|
5102 W Pauline Whitaker Pkwy Ste 124 Rogers AR 72758-8365 | |
| (479) 278-2753 | |
| (479) 278-2731 |
| Full Name | Enhanced Healthcare Wound Clinic Nwa Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5102 W Pauline Whitaker Pkwy Ste 124, Rogers, Arkansas |
| Authorized Official Name and Position | Leah Carrington (CEO) |
| Authorized Official Contact | 4792782753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enhanced Healthcare Wound Clinic Nwa Inc 5 Thackery Ln Bella Vista AR 72714-4501 Ph: (870) 370-6256 | Enhanced Healthcare Wound Clinic Nwa Inc 5102 W Pauline Whitaker Pkwy Ste 124 Rogers AR 72758-8365 Ph: (479) 278-2753 |
| NPI Number | 1962104125 |
|---|---|
| Provider Enumeration Date | 03/21/2023 |
| Last Update Date | 03/21/2023 |
| Medicare PECOS PAC ID | 4688033954 |
|---|---|
| Medicare Enrollment ID | O20230705000936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962104125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (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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