| Goodnight Family Healthcare Pllc | |
|
403 Morrow St N Ste E Mena AR 71953-4324 | |
| (479) 385-3055 | |
| (479) 385-3054 |
| Full Name | Goodnight Family Healthcare Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 403 Morrow St N Ste E, Mena, Arkansas |
| Authorized Official Name and Position | Gretchen Laurel Goodnight (OWNER/FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 4792161016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodnight Family Healthcare Pllc 113 Myers Ln Mena AR 71953-8944 Ph: (479) 216-1016 | Goodnight Family Healthcare Pllc 403 Morrow St N Ste E Mena AR 71953-4324 Ph: (479) 385-3055 |
| NPI Number | 1154049989 |
|---|---|
| Provider Enumeration Date | 08/18/2022 |
| Last Update Date | 05/30/2024 |
| Medicare PECOS PAC ID | 5496130932 |
|---|---|
| Medicare Enrollment ID | O20220919003077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154049989 | NPI | - | NPPES |
| 288894762 | Medicaid | AR | |
| 2I7546 | Other | AR | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Gretchen L Goodnight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134425705 PECOS PAC ID: 1355524968 Enrollment ID: I20110318000784 |
Mena Hospital Commission Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 College Dr, Mena, AR 71953 Phone: 479-394-1414 Fax: 877-775-6761 | |
Jmac Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 Morrow St N Ste F, Mena, AR 71953 Phone: 479-437-6080 | |
Grannis Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 Morrow St N, Mena, AR 71953 Phone: 870-385-2513 | |
Mena Hospital Commission Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1102 Crestwood Cir, Mena, AR 71953 Phone: 479-394-7301 Fax: 479-394-7160 | |
David P. Brown, Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1302 Highway 71 N, Mena, AR 71953 Phone: 479-394-3718 Fax: 479-394-7571 | |
Ouachita Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1210 Dequeen St, Mena, AR 71953 Phone: 479-394-5068 Fax: 479-394-5626 |