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1020 Highway 62 E Mountain Home AR 72653-3216 | |
(931) 253-1101 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1020 Highway 62 E, Mountain Home, Arkansas |
Authorized Official Name and Position | Sydni Clemmons (CREDENTIALING MANAGER) |
Authorized Official Contact | 9013511791 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 306415 Nashville TN 37230-6415 Ph: (931) 253-9919 | 1020 Highway 62 E Mountain Home AR 72653-3216 Ph: (931) 253-1101 |
NPI Number | 1972262400 |
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Provider Enumeration Date | 12/13/2021 |
Last Update Date | 02/06/2024 |
Medicare PECOS PAC ID | 3678832029 |
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Medicare Enrollment ID | O20240718003122 |
Identifier | Type | State | Issuer |
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1972262400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Regional Family Medicine Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 630 Burnett Dr, Mountain Home, AR 72653 Phone: 870-425-6971 Fax: 870-508-8900 | |
Yourpersonalmd.com Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S College St, Suite 3, Mountain Home, AR 72653 Phone: 870-424-9763 Fax: 870-424-9762 | |