Heber Springs Clinic | |
401 W Searcy St Heber Springs AR 72543-3842 | |
(501) 362-2414 | |
(501) 362-7068 |
Full Name | Heber Springs Clinic |
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Speciality | Clinic/Center |
Location | 401 W Searcy St, Heber Springs, Arkansas |
Authorized Official Name and Position | Jan C Sharp (OWNER) |
Authorized Official Contact | 5013622414 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Heber Springs Clinic 401 W Searcy St P. O. Box 1570 Heber Springs AR 72543-3842 Ph: (501) 362-2414 | Heber Springs Clinic 401 W Searcy St Heber Springs AR 72543-3842 Ph: (501) 362-2414 |
NPI Number | 1548221377 |
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Provider Enumeration Date | 03/31/2006 |
Last Update Date | 02/04/2016 |
Medicare PECOS PAC ID | 4587843362 |
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Medicare Enrollment ID | O20110126000099 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548221377 | NPI | - | NPPES |
125447002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Jan C Sharp |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073592523 PECOS PAC ID: 1658550447 Enrollment ID: I20110214000250 |
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