| Lockesburg Family Clinic | |
|
500 E Collin Raye Dr Ste 2 De Queen AR 71832-8068 | |
| (870) 642-7257 | |
| (870) 642-5015 |
| Full Name | Lockesburg Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 E Collin Raye Dr Ste 2, De Queen, Arkansas |
| Authorized Official Name and Position | Rusty Lynn Griffin (OWNER) |
| Authorized Official Contact | 5017650275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lockesburg Family Clinic 500 E. Collin Raye Drive De Queen AR 71832-8054 Ph: (870) 642-7257 | Lockesburg Family Clinic 500 E Collin Raye Dr Ste 2 De Queen AR 71832-8068 Ph: (870) 642-7257 |
| NPI Number | 1912679549 |
|---|---|
| Provider Enumeration Date | 10/01/2021 |
| Last Update Date | 04/01/2022 |
| Medicare PECOS PAC ID | 9739579152 |
|---|---|
| Medicare Enrollment ID | O20211129001598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912679549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Mary P Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437115805 PECOS PAC ID: 2961430228 Enrollment ID: I20050928001436 |
| Provider Name | Joseph Zitterman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801840202 PECOS PAC ID: 5496713240 Enrollment ID: I20130403000000 |
| Provider Name | Tugi R Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023489242 PECOS PAC ID: 0042461220 Enrollment ID: I20201013003209 |
Jonathan L. Hoyt, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Highway 71 N, De Queen, AR 71832 Phone: 870-642-5600 | |
De Queen Family Medical Associates Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 E Collin Raye Dr, De Queen, AR 71832 Phone: 870-584-3627 | |
Randy D. Walker, M.d., P.l.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1553 W Collin Raye Dr, De Queen, AR 71832 Phone: 870-584-3000 Fax: 870-584-3003 | |
De Queen Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1314 W Collin Raye Dr, De Queen, AR 71832 Phone: 870-642-2273 Fax: 870-642-2162 | |
Lockesburg Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 E Collin Raye Dr Ste 2, De Queen, AR 71832 Phone: 870-289-5192 Fax: 870-289-4223 | |
Mitchell Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Highway 71 N, De Queen, AR 71832 Phone: 870-642-8818 | |
Healthy Connections Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 W Collin Raye Dr, De Queen, AR 71832 Phone: 888-710-8220 |