| Greenbrier Family Medicine | |
|
110 N Broadview Greenbrier AR 72058-9475 | |
| (501) 679-3551 | |
| (501) 679-4536 |
| Full Name | Greenbrier Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 N Broadview, Greenbrier, Arkansas |
| Authorized Official Name and Position | William Pack (CFO) |
| Authorized Official Contact | 5014502112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenbrier Family Medicine Po Box 9662 Conway AR 72033-9662 Ph: (501) 852-1363 | Greenbrier Family Medicine 110 N Broadview Greenbrier AR 72058-9475 Ph: (501) 679-3551 |
| NPI Number | 1548362437 |
|---|---|
| Provider Enumeration Date | 09/02/2006 |
| Last Update Date | 11/09/2023 |
| Medicare PECOS PAC ID | 3173428414 |
|---|---|
| Medicare Enrollment ID | O20221117000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548362437 | NPI | - | NPPES |
| 128443729 | Medicaid | AR | |
| 126870002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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