Mississippi County Primary Care Physicians Clinic | |
602 W Union Ave Ste B Osceola AR 72370-3022 | |
(870) 563-6504 | |
(870) 622-0611 |
Full Name | Mississippi County Primary Care Physicians Clinic |
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Speciality | Clinic/Center |
Location | 602 W Union Ave Ste B, Osceola, Arkansas |
Authorized Official Name and Position | Chris Lee Raymer (CEO) |
Authorized Official Contact | 8708387463 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mississippi County Primary Care Physicians Clinic 1520 N Division St Blytheville AR 72315-1448 Ph: (870) 838-7462 | Mississippi County Primary Care Physicians Clinic 602 W Union Ave Ste B Osceola AR 72370-3022 Ph: (870) 563-6504 |
NPI Number | 1073129755 |
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Provider Enumeration Date | 09/18/2020 |
Last Update Date | 09/23/2020 |
Medicare PECOS PAC ID | 9739230723 |
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Medicare Enrollment ID | O20201026000700 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073129755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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