| Hines Family Medicine | |
|
1300 W. Court St. Paragould AR 72450-4247 | |
| (870) 236-4100 | |
| (870) 236-4122 |
| Full Name | Hines Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1300 W. Court St., Paragould, Arkansas |
| Authorized Official Name and Position | John Raymond Hines (CEO) |
| Authorized Official Contact | 8702364100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hines Family Medicine 1300 W. Court St. Paragould AR 72450-4247 Ph: (870) 236-4100 | Hines Family Medicine 1300 W. Court St. Paragould AR 72450-4247 Ph: (870) 236-4100 |
| NPI Number | 1114974615 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 04/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114974615 | NPI | - | NPPES |
| 5F554 | Other | AR | MEDICARE GROUP NUMBER |
| 166393004 | Medicaid | AR | |
| 5F554 | Other | AR | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E3472 (Arkansas) | Primary |
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