Harton Medical Clinic Pllc Pa | |
614 N Martin St Warren AR 71671-1904 | |
(870) 226-6580 | |
(870) 226-6554 |
Full Name | Harton Medical Clinic Pllc Pa |
---|---|
Speciality | Family Medicine |
Location | 614 N Martin St, Warren, Arkansas |
Authorized Official Name and Position | Timothy S Harton (OWNER) |
Authorized Official Contact | 8702266580 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Harton Medical Clinic Pllc Pa 400 E 10th St Waconia MN 55387-4552 Ph: (952) 442-9770 | Harton Medical Clinic Pllc Pa 614 N Martin St Warren AR 71671-1904 Ph: (870) 226-6580 |
NPI Number | 1013917780 |
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Provider Enumeration Date | 07/26/2005 |
Last Update Date | 04/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013917780 | NPI | - | NPPES |
5C908 | Other | AR | BLUE CROSS OF AR |
150670002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E3166 (Arkansas) | Primary |
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