Family First Primary Care, Pa | |
25 Business Park Dr Greenbrier AR 72058 | |
(501) 679-3998 | |
Not Available |
Full Name | Family First Primary Care, Pa |
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Speciality | Family Medicine |
Location | 25 Business Park Dr, Greenbrier, Arkansas |
Authorized Official Name and Position | Rainey Bart (OFFICE MANAGER) |
Authorized Official Contact | 5016793998 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family First Primary Care, Pa Po Box 177 Greenbrier AR 72058-0177 Ph: (501) 679-3998 | Family First Primary Care, Pa 25 Business Park Dr Greenbrier AR 72058 Ph: (501) 679-3998 |
NPI Number | 1366831448 |
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Provider Enumeration Date | 01/13/2015 |
Last Update Date | 01/13/2015 |
Medicare PECOS PAC ID | 8921324898 |
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Medicare Enrollment ID | O20150312000314 |
Identifier | Type | State | Issuer |
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1366831448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Alyson M Fish |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265622468 PECOS PAC ID: 7012007834 Enrollment ID: I20071217000875 |
Provider Name | Michelle L Willis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922305051 PECOS PAC ID: 5193908945 Enrollment ID: I20110331000722 |
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