| Monette Family Practice Clinic Pa | |
|
210 W Drew Monette AR 72447-0747 | |
| (870) 486-5464 | |
| (870) 486-2118 |
| Full Name | Monette Family Practice Clinic Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 210 W Drew, Monette, Arkansas |
| Authorized Official Name and Position | Glen Christopher Rolland (BILLING CLERK) |
| Authorized Official Contact | 8704865464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monette Family Practice Clinic Pa Po Box 747 Monette AR 72447-0747 Ph: (870) 486-5464 | Monette Family Practice Clinic Pa 210 W Drew Monette AR 72447-0747 Ph: (870) 486-5464 |
| NPI Number | 1417071572 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 07/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417071572 | NPI | - | NPPES |
| 136895762 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | S27098 (Arkansas) | Secondary |
Buffalo Island Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21110 Hwy 18 East, Monette, AR 72447 Phone: 870-486-5464 Fax: 870-486-2118 | |
Monette Family Practice Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 W Drew Street, Monette, AR 72447 Phone: 870-486-5464 Fax: 870-486-2118 |