| Nutt-walley Clinic Of Dallas County Medical Center | |
|
110 N Clifton St Fordyce AR 71742-3025 | |
| (870) 352-3525 | |
| (870) 352-3533 |
| Full Name | Nutt-walley Clinic Of Dallas County Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 N Clifton St, Fordyce, Arkansas |
| Authorized Official Name and Position | Kenneth E Sanders (ADMINISTRATOR) |
| Authorized Official Contact | 8703526363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nutt-walley Clinic Of Dallas County Medical Center 110 N Clifton St Fordyce AR 71742-3025 Ph: () - | Nutt-walley Clinic Of Dallas County Medical Center 110 N Clifton St Fordyce AR 71742-3025 Ph: (870) 352-3525 |
| NPI Number | 1508364241 |
|---|---|
| Provider Enumeration Date | 01/29/2018 |
| Last Update Date | 01/29/2018 |
| Medicare PECOS PAC ID | 7416869300 |
|---|---|
| Medicare Enrollment ID | O20180221000855 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508364241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Michael D Payne Md Pllc Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N Clifton St, Fordyce, AR 71742 Phone: 870-352-3151 Fax: 870-352-8497 | |
Rodney Mark Dixon Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 N Clifton St, Fordyce, AR 71742 Phone: 870-352-6300 | |
Nutt-walley Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 N Clifton St, Fordyce, AR 71742 Phone: 870-352-3525 Fax: 870-352-3533 | |
Hcc Of Fordyce, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 N Clifton St, Fordyce, AR 71742 Phone: 870-352-6300 | |
Dallas County Medical Center Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 North Clifton Street, Fordyce, AR 71742 Phone: 870-352-6363 Fax: 870-352-6343 | |
Hugh A. Nutt M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 N Clifton St, Fordyce, AR 71742 Phone: 870-352-5144 Fax: 870-352-8498 |