| Harrison Family Medicine | |
|
218 Church St Stamps AR 71860-2816 | |
| (870) 533-1300 | |
| (870) 533-1303 |
| Full Name | Harrison Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 218 Church St, Stamps, Arkansas |
| Authorized Official Name and Position | Dianne Renee Harrison (CO-OWNER) |
| Authorized Official Contact | 9037486386 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harrison Family Medicine 218 Church St Stamps AR 71860-2816 Ph: (870) 533-1300 | Harrison Family Medicine 218 Church St Stamps AR 71860-2816 Ph: (870) 533-1300 |
| NPI Number | 1225762867 |
|---|---|
| Provider Enumeration Date | 07/11/2022 |
| Last Update Date | 07/25/2022 |
| Medicare PECOS PAC ID | 0941686034 |
|---|---|
| Medicare Enrollment ID | O20220927001540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225762867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Dianne R Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033752803 PECOS PAC ID: 8426484015 Enrollment ID: I20200129002569 |
Antoonmedicalclinic,pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 218 Church St, Stamps, AR 71860 Phone: 870-533-1300 Fax: 870-533-1303 |