| Harrison Family Practice Clinic - Washington Regional | |
|
715 W Sherman Ave Ste G Harrison AR 72601-2737 | |
| (870) 741-8247 | |
| (870) 741-3933 |
| Full Name | Harrison Family Practice Clinic - Washington Regional |
|---|---|
| Speciality | Family Medicine |
| Location | 715 W Sherman Ave Ste G, Harrison, Arkansas |
| Authorized Official Name and Position | William L. Bradley (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4794635007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harrison Family Practice Clinic - Washington Regional Po Box 1898 Lowell AR 72745-1898 Ph: (870) 741-7309 | Harrison Family Practice Clinic - Washington Regional 715 W Sherman Ave Ste G Harrison AR 72601-2737 Ph: (870) 741-8247 |
| NPI Number | 1871866038 |
|---|---|
| Provider Enumeration Date | 02/20/2012 |
| Last Update Date | 02/20/2012 |
| Medicare PECOS PAC ID | 8820995434 |
|---|---|
| Medicare Enrollment ID | O20120402000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871866038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Stacy L Armstrong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144291816 PECOS PAC ID: 2961447248 Enrollment ID: I20050627001175 |
| Provider Name | Mahlon O Maris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275508061 PECOS PAC ID: 9335102276 Enrollment ID: I20070917000154 |
| Provider Name | Herschel Mayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518933167 PECOS PAC ID: 8729121710 Enrollment ID: I20100129000305 |
| Provider Name | Shannon H Brownfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497720221 PECOS PAC ID: 7012011711 Enrollment ID: I20100211000638 |
| Provider Name | Jean A Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316308646 PECOS PAC ID: 2860791555 Enrollment ID: I20160502001392 |
| Provider Name | Erin K Edgmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346856366 PECOS PAC ID: 1658781737 Enrollment ID: I20201030000742 |
| Provider Name | Hannah Wilburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881291896 PECOS PAC ID: 7214349935 Enrollment ID: I20201221002628 |
| Provider Name | Elisabeth L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134613326 PECOS PAC ID: 7113276692 Enrollment ID: I20220106001336 |
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Harrison Family Practice Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 W Sherman Ave, Suite G, Harrison, AR 72601 Phone: 870-741-8247 Fax: 870-741-3933 | |
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Stephen R. Maes, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 N Spring St, Suite F, Harrison, AR 72601 Phone: 870-741-8800 Fax: 870-741-4545 |