| Jimmy Brown Elementary | |
|
310 Ashley St Star City AR 71667 | |
| (650) 419-2545 | |
| (870) 538-5412 |
| Full Name | Jimmy Brown Elementary |
|---|---|
| Speciality | Clinic/Center |
| Location | 310 Ashley St, Star City, Arkansas |
| Authorized Official Name and Position | Gary Allan Nichols (CEO) |
| Authorized Official Contact | 8709423000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jimmy Brown Elementary Po Box 509 Dermott AR 71638-0509 Ph: (870) 942-3000 | Jimmy Brown Elementary 310 Ashley St Star City AR 71667 Ph: (650) 419-2545 |
| NPI Number | 1124565213 |
|---|---|
| Provider Enumeration Date | 01/26/2017 |
| Last Update Date | 07/11/2024 |
| Medicare PECOS PAC ID | 5193785590 |
|---|---|
| Medicare Enrollment ID | O20170802002013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124565213 | NPI | - | NPPES |
| 222440749 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Kenneth A Heiles, D.o. Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 S Jefferson St, Star City, AR 71667 Phone: 870-628-5110 Fax: 870-628-5949 | |
Star City Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 N Drew, Star City, AR 71667 Phone: 870-628-5110 Fax: 870-628-5949 | |
Paul F Whipple,d.o.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 Kirkwood Rd, Star City, AR 71667 Phone: 870-628-5391 Fax: 870-629-5393 | |
Star City High School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 E Arkansas St Rm E3, Star City, AR 71667 Phone: 650-419-2810 Fax: 870-538-5412 | |
Kenneth Heiles Clinic Ahec Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 S Jefferson St, Star City, AR 71667 Phone: 870-628-5110 Fax: 870-628-5949 | |
Jefferson Regional Star City Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1306 North Lincoln Avenue, Star City, AR 71667 Phone: 870-628-1347 |