Integrative Allergy & Wellness | |
2709 West Kingshighway, Ste 8 Paragould AR 72450-7245 | |
(870) 236-3388 | |
(870) 236-2656 |
Full Name | Integrative Allergy & Wellness |
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Speciality | Family Medicine |
Location | 2709 West Kingshighway, Ste 8, Paragould, Arkansas |
Authorized Official Name and Position | Lisa M Hendrix (CHIEF OFFICER) |
Authorized Official Contact | 8702363388 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Integrative Allergy & Wellness 2709 W Kingshighway Ste 8 Paragould AR 72450-2644 Ph: (870) 236-3388 | Integrative Allergy & Wellness 2709 West Kingshighway, Ste 8 Paragould AR 72450-7245 Ph: (870) 236-3388 |
NPI Number | 1952877029 |
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Provider Enumeration Date | 10/16/2018 |
Last Update Date | 10/16/2018 |
Medicare PECOS PAC ID | 2466785654 |
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Medicare Enrollment ID | O20190603001366 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952877029 | NPI | - | NPPES |
130231001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Lisa Hendrix |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1497833610 PECOS PAC ID: 3678566023 Enrollment ID: I20040403000149 |
Provider Name | Lara Ann Mcglothlin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790344562 PECOS PAC ID: 3476883364 Enrollment ID: I20190918003571 |
Provider Name | Bernice Esther Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548733678 PECOS PAC ID: 5991137275 Enrollment ID: I20191108000058 |
Provider Name | Brandon Thornton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265004550 PECOS PAC ID: 9436552486 Enrollment ID: I20210728001472 |
Provider Name | Brittany Kay Sims |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154085280 PECOS PAC ID: 8123407889 Enrollment ID: I20220627001428 |
Provider Name | Hillary D Davis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285362913 PECOS PAC ID: 2668856246 Enrollment ID: I20220831000916 |
Provider Name | Leah M Gathright |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538729116 PECOS PAC ID: 8729432091 Enrollment ID: I20230921000502 |
Hendrix Medical Services Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2709 W Kingshighway, Suite 6, Paragould, AR 72450 Phone: 870-236-7272 Fax: 870-236-7275 | |
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