| |
201 E School St Lincoln AR 72744-8885 | |
(479) 824-7320 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 201 E School St, Lincoln, Arkansas |
Authorized Official Name and Position | Kathy Grisham (CEO) |
Authorized Official Contact | 4797517417 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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614 E Emma Avenue Suite 300 Springdale AR 72764-4469 Ph: (479) 751-7417 | 201 E School St Lincoln AR 72744-8885 Ph: (479) 824-7320 |
NPI Number | 1053714295 |
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Provider Enumeration Date | 10/02/2014 |
Last Update Date | 10/02/2014 |
Identifier | Type | State | Issuer |
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1053714295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Lincoln Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 573 N. County Road, Lincoln, AR 72744 Phone: 479-824-3000 Fax: 479-824-3003 |