Hamburg Middle School | |
1109 Cub Drive Hamburg AR 71646 | |
(870) 224-0116 | |
(877) 751-3582 |
Full Name | Hamburg Middle School |
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Speciality | Clinic/Center |
Location | 1109 Cub Drive, Hamburg, Arkansas |
Authorized Official Name and Position | Gary Allan Nichols (CEO) |
Authorized Official Contact | 8709423000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hamburg Middle School Po Box 509 Dermott AR 71638-0509 Ph: (870) 538-5414 | Hamburg Middle School 1109 Cub Drive Hamburg AR 71646 Ph: (870) 224-0116 |
NPI Number | 1437632627 |
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Provider Enumeration Date | 09/13/2018 |
Last Update Date | 07/10/2024 |
Medicare PECOS PAC ID | 5193785590 |
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Medicare Enrollment ID | O20181108000354 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437632627 | NPI | - | NPPES |
232651749 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Hamburg High School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1119 S Main St, Hamburg, AR 71646 Phone: 870-538-5414 Fax: 870-538-5412 | |
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