| Mccrory Family Clinic Pa | |
|
908 N Edmonds Ave Mccrory AR 72101 | |
| (870) 731-1100 | |
| (870) 731-1019 |
| Full Name | Mccrory Family Clinic Pa |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 908 N Edmonds Ave, Mccrory, Arkansas |
| Authorized Official Name and Position | Fred E Wilson (MD) |
| Authorized Official Contact | 8707311100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mccrory Family Clinic Pa Po Box 780 Mccrory AR 72101 Ph: (870) 731-1100 | Mccrory Family Clinic Pa 908 N Edmonds Ave Mccrory AR 72101 Ph: (870) 731-1100 |
| NPI Number | 1972613743 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972613743 | NPI | - | NPPES |
| CI5031 | Other | AR | RAILROAD MEDICARE |
| 134474729 | Medicaid | AR | |
| 134056002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | MC-1803 (Arkansas) | Primary |
Cache River Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 W Kimberly Drive, Mccrory, AR 72101 Phone: 870-731-0640 | |
Arcare 50 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 801 N Edmonds, Mccrory, AR 72101 Phone: 870-731-5411 Fax: 978-327-7972 |