Wound Care Jj Ar Pa | |
404 Cascade Ln Cave Springs AR 72718-9430 | |
(470) 685-8837 | |
Not Available |
Full Name | Wound Care Jj Ar Pa |
---|---|
Speciality | General Practice |
Location | 404 Cascade Ln, Cave Springs, Arkansas |
Authorized Official Name and Position | Joel Jones (OWNER) |
Authorized Official Contact | 4796858836 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Wound Care Jj Ar Pa 404 Cascade Ln Cave Springs AR 72718-9430 Ph: (470) 685-8837 | Wound Care Jj Ar Pa 404 Cascade Ln Cave Springs AR 72718-9430 Ph: (470) 685-8837 |
NPI Number | 1427833037 |
---|---|
Provider Enumeration Date | 08/30/2023 |
Last Update Date | 01/23/2024 |
Medicare PECOS PAC ID | 2365887940 |
---|---|
Medicare Enrollment ID | O20240305003656 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427833037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Joel Jones |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194783472 PECOS PAC ID: 7517943327 Enrollment ID: I20040624000607 |
Provider Name | Christopher Mcdaniel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700299138 PECOS PAC ID: 3274899406 Enrollment ID: I20171103002265 |