| Infinity Health Of Arkansas Llc | |
|
25255 Highway 5 Ste K Lonsdale AR 72087-9102 | |
| (501) 476-7171 | |
| Not Available |
| Full Name | Infinity Health Of Arkansas Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 25255 Highway 5 Ste K, Lonsdale, Arkansas |
| Authorized Official Name and Position | Ashley Tabor (CREDENTIALING ADMINISTRATOR) |
| Authorized Official Contact | 3012475454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinity Health Of Arkansas Llc 25255 Highway 5 Ste K Lonsdale AR 72087-9102 Ph: (501) 476-7171 | Infinity Health Of Arkansas Llc 25255 Highway 5 Ste K Lonsdale AR 72087-9102 Ph: (501) 476-7171 |
| NPI Number | 1508531146 |
|---|---|
| Provider Enumeration Date | 08/16/2021 |
| Last Update Date | 08/16/2021 |
| Medicare PECOS PAC ID | 0042616195 |
|---|---|
| Medicare Enrollment ID | O20210915001036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508531146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Katharine L Hurst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396881876 PECOS PAC ID: 2567450406 Enrollment ID: I20040430001368 |
| Provider Name | Christa Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356719264 PECOS PAC ID: 3274836929 Enrollment ID: I20160129001298 |
| Provider Name | Amber Nicole Chapmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376218693 PECOS PAC ID: 2163829276 Enrollment ID: I20210916000077 |
| Provider Name | Jordan Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255006722 PECOS PAC ID: 4183001977 Enrollment ID: I20220517001492 |
Infinity Health Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25255 Highway 5 Ste K, Lonsdale, AR 72087 Phone: 501-922-5621 | |
Tomorrow's Therapy Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 24711 Highway 5, Lonsdale, AR 72087 Phone: 501-922-9933 Fax: 501-922-9934 | |
Beyond Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25255 Highway 5 Ste J, Lonsdale, AR 72087 Phone: 501-476-7171 Fax: 501-922-4164 |