| |
370 W Main St Ashdown AR 71822-2750 | |
(870) 898-4100 | |
(870) 898-5791 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 370 W Main St, Ashdown, Arkansas |
Authorized Official Name and Position | Vicki Ann Keener (ADM. ASSISTANT) |
Authorized Official Contact | 8708985011 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
450 W Locke St Suite C Ashdown AR 71822-3326 Ph: (870) 898-5011 | 370 W Main St Ashdown AR 71822-2750 Ph: (870) 898-4100 |
NPI Number | 1962719856 |
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Provider Enumeration Date | 09/13/2010 |
Last Update Date | 11/10/2023 |
Medicare PECOS PAC ID | 5395032999 |
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Medicare Enrollment ID | O20200909002728 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962719856 | NPI | - | NPPES |
5G384 | Other | AR | BCS |
191446002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | James E Oglesby |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1366432247 PECOS PAC ID: 7719931021 Enrollment ID: I20050309000903 |
Provider Name | Toni T Tackett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134458243 PECOS PAC ID: 0446348189 Enrollment ID: I20130607000405 |
Provider Name | Brittny Nicole Mills |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407333784 PECOS PAC ID: 6406106541 Enrollment ID: I20190429000033 |
Provider Name | Martega Marie Walton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104425586 PECOS PAC ID: 2961812029 Enrollment ID: I20201102001367 |
Provider Name | Joy Ann Dodson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972194678 PECOS PAC ID: 3678981610 Enrollment ID: I20210413000199 |
Provider Name | Candy Lee Ward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619550092 PECOS PAC ID: 1850792607 Enrollment ID: I20210630002043 |
Provider Name | Lela Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730958968 PECOS PAC ID: 6305377649 Enrollment ID: I20240927000400 |
George K Covert Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 West Main, Ashdown, AR 71822 Phone: 870-898-6940 Fax: 870-898-4191 | |
Cardinal Care Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1340 S Constitution Ave, Ashdown, AR 71822 Phone: 870-888-2748 Fax: 870-659-2273 | |
Kevin C Kleinschmidt Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 418 N Second St, Ashdown, AR 71822 Phone: 870-898-5037 Fax: 870-898-3910 | |
Access Medical Clinic Arkansas, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 Southern Dr, Ashdown, AR 71822 Phone: 870-600-4050 | |
Family Medical Associates, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 146 Highway 32 2a, Ashdown, AR 71822 Phone: 870-898-5525 Fax: 870-898-8572 | |
Khoa Cao Nguyen Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1340 S Constitution Ave, Ashdown, AR 71822 Phone: 870-898-2007 | |