Lawrence County Family Clinic, Pa | |
1210 W Main St Walnut Ridge AR 72476-1005 | |
(870) 886-3543 | |
(870) 886-3252 |
Full Name | Lawrence County Family Clinic, Pa |
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Speciality | Family Medicine |
Location | 1210 W Main St, Walnut Ridge, Arkansas |
Authorized Official Name and Position | Karen Patterson (OFFICE MANAGER) |
Authorized Official Contact | 8708863543 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lawrence County Family Clinic, Pa Po Box 719 Walnut Ridge AR 72476-0719 Ph: (870) 886-3543 | Lawrence County Family Clinic, Pa 1210 W Main St Walnut Ridge AR 72476-1005 Ph: (870) 886-3543 |
NPI Number | 1942337282 |
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Provider Enumeration Date | 02/27/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 1557347572 |
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Medicare Enrollment ID | O20040629000571 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942337282 | NPI | - | NPPES |
56801 | Other | AR | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Clay R Spencer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255413092 PECOS PAC ID: 0042296071 Enrollment ID: I20040629000620 |
Provider Name | Sebastian A Spades |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417021007 PECOS PAC ID: 2062454259 Enrollment ID: I20100312001023 |
Provider Name | Charles D Davidson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457425902 PECOS PAC ID: 5890771828 Enrollment ID: I20100624000848 |
Provider Name | Shawn Peyton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124192695 PECOS PAC ID: 7618003575 Enrollment ID: I20100630000612 |
Provider Name | Nancy J Baltz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578793469 PECOS PAC ID: 3577735679 Enrollment ID: I20111014000330 |
Provider Name | Cassandra L Hunter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003250945 PECOS PAC ID: 5597078139 Enrollment ID: I20160801002203 |
Troxel Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1045 W Main, Suite C, Walnut Ridge, AR 72476 Phone: 870-886-8300 Fax: 870-886-8302 | |
Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1309 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-3211 Fax: 870-886-9027 | |
1st Choice Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Colonial Dr, Walnut Ridge, AR 72476 Phone: 870-886-5507 Fax: 870-886-5632 | |
The Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 Sw Larkspur Dr, Walnut Ridge, AR 72476 Phone: 870-813-0300 Fax: 870-313-0380 | |
Lawence County Family Clinic, P.a .,rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1210 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-3543 Fax: 870-886-3252 |