| Marshall Family Practice | |
|
211 Airport Road Marshall AR 72650 | |
| (870) 448-3328 | |
| Not Available |
| Full Name | Marshall Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 211 Airport Road, Marshall, Arkansas |
| Authorized Official Name and Position | Ken Pannell (VP FINANCE / CFO) |
| Authorized Official Contact | 8704145157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marshall Family Practice Po Box 1266 Marshall AR 72650 Ph: (870) 448-3328 | Marshall Family Practice 211 Airport Road Marshall AR 72650 Ph: (870) 448-3328 |
| NPI Number | 1417948290 |
|---|---|
| Provider Enumeration Date | 11/02/2005 |
| Last Update Date | 11/02/2023 |
| Medicare PECOS PAC ID | 5193615896 |
|---|---|
| Medicare Enrollment ID | O20070516000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417948290 | NPI | - | NPPES |
| 131315729 | Medicaid | AR | |
| 5B481 | Other | AR | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | AR3203 (Arkansas) | Primary |
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