| Assurance Health & Wellness Clinic | |
|
11215 Hermitage Rd Ste 103 Little Rock AR 72211-3863 | |
| (501) 219-1929 | |
| (501) 219-0021 |
| Full Name | Assurance Health & Wellness Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 11215 Hermitage Rd Ste 103, Little Rock, Arkansas |
| Authorized Official Name and Position | Sarah M Williams (OWNER) |
| Authorized Official Contact | 5012191929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Assurance Health & Wellness Clinic 3858 Freedom Cv Benton AR 72015-9750 Ph: (501) 831-0381 | Assurance Health & Wellness Clinic 11215 Hermitage Rd Ste 103 Little Rock AR 72211-3863 Ph: (501) 219-1929 |
| NPI Number | 1639765373 |
|---|---|
| Provider Enumeration Date | 12/16/2020 |
| Last Update Date | 10/05/2022 |
| Medicare PECOS PAC ID | 2961815071 |
|---|---|
| Medicare Enrollment ID | O20210111001129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639765373 | NPI | - | NPPES |
| 176962758 | Medicaid | AR | |
| 269027762 | Medicaid | AR | |
| A003231 | Other | AR | ARKANSAS NURSING LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Sarah M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326282799 PECOS PAC ID: 2961553540 Enrollment ID: I20090622000108 |
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