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724 N Spring St Ste C Harrison AR 72601-2913 | |
| (870) 414-4000 | |
| (870) 414-4789 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 724 N Spring St Ste C, Harrison, Arkansas |
| Authorized Official Name and Position | Andrea Smith (VP FINANCE/CFO) |
| Authorized Official Contact | 8704144285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2990 Harrison AR 72602-2990 Ph: (870) 414-4000 | 724 N Spring St Ste C Harrison AR 72601-2913 Ph: (870) 414-4000 |
| NPI Number | 1992133953 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 10/28/2024 |
| Medicare PECOS PAC ID | 5193615896 |
|---|---|
| Medicare Enrollment ID | O20091211000450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992133953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gary A Linker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902856867 PECOS PAC ID: 8729056064 Enrollment ID: I20040923000661 |
| Provider Name | Richard B Chitsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679547301 PECOS PAC ID: 0345378733 Enrollment ID: I20100505000532 |
| Provider Name | Taesha Cn Winford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467877340 PECOS PAC ID: 0042442964 Enrollment ID: I20150108000676 |
| Provider Name | Amanda S Cope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033661798 PECOS PAC ID: 3678855301 Enrollment ID: I20170112003034 |
| Provider Name | Thomas B Rosson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396163499 PECOS PAC ID: 2567780448 Enrollment ID: I20170509000314 |
| Provider Name | Jessica Graddy |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1215683586 PECOS PAC ID: 7517352446 Enrollment ID: I20220321001406 |
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