| Hillcrest Family Clinic | |
|
4601 Woodlawn Dr Little Rock AR 72205-3860 | |
| (501) 664-0769 | |
| (501) 664-9558 |
| Full Name | Hillcrest Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 4601 Woodlawn Dr, Little Rock, Arkansas |
| Authorized Official Name and Position | Jay D Holland (PRESIDENT) |
| Authorized Official Contact | 5016640769 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillcrest Family Clinic 4601 Woodlawn Dr Little Rock AR 72205-3860 Ph: (501) 664-0769 | Hillcrest Family Clinic 4601 Woodlawn Dr Little Rock AR 72205-3860 Ph: (501) 664-0769 |
| NPI Number | 1669530606 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 08/21/2009 |
| Medicare PECOS PAC ID | 6709987928 |
|---|---|
| Medicare Enrollment ID | O20070718000394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669530606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Arkansas) | Primary |
| Provider Name | Jay D Holland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235163353 PECOS PAC ID: 2466345707 Enrollment ID: I20040203000540 |
| Provider Name | Soren Louvring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154582799 PECOS PAC ID: 8527107747 Enrollment ID: I20091201000714 |
| Provider Name | Charles C Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992906143 PECOS PAC ID: 8820139785 Enrollment ID: I20130613000193 |
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