| Monticello Community Health Center | |
|
535 Jordan Dr Monticello AR 71655-5714 | |
| (870) 367-6246 | |
| (855) 926-7383 |
| Full Name | Monticello Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 535 Jordan Dr, Monticello, Arkansas |
| Authorized Official Name and Position | Gary Allan Nichols (CEO) |
| Authorized Official Contact | 8709423000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monticello Community Health Center Po Box 509 Dermott AR 71638-0509 Ph: (870) 942-3000 | Monticello Community Health Center 535 Jordan Dr Monticello AR 71655-5714 Ph: (870) 367-6246 |
| NPI Number | 1205163540 |
|---|---|
| Provider Enumeration Date | 11/06/2009 |
| Last Update Date | 07/11/2024 |
| Medicare PECOS PAC ID | 5193785590 |
|---|---|
| Medicare Enrollment ID | O20100827000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205163540 | NPI | - | NPPES |
| 183197749 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mmc2 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 Roberts Drive, Monticello, AR 71655 Phone: 870-367-6867 Fax: 870-367-1461 | |
University Of Arkansas At Monticello Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 663 University Drive, Monticello, AR 71656 Phone: 870-460-1058 | |
Jefferson Regional Monticello Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 Roberts Drive, Suite B, Monticello, AR 71655 Phone: 870-367-1461 | |
Drew Memorial Hospital, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 778 Scogin Dr, Monticello, AR 71655 Phone: 870-367-2411 Fax: 870-460-3562 | |
Sheiron Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 Roberts Dr, Monticello, AR 71655 Phone: 870-367-3246 Fax: 870-367-3271 | |
Mainline Uam Behavioral Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 517 University Dr, Suite 201, Monticello, AR 71655 Phone: 870-367-6246 Fax: 855-926-7383 |