Oge Family Medical Clinic Pllc | |
119 Medical Cir Suite 3 Nashville AR 71852-8606 | |
(870) 451-9199 | |
Not Available |
Full Name | Oge Family Medical Clinic Pllc |
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Speciality | Family Medicine |
Location | 119 Medical Cir, Nashville, Arkansas |
Authorized Official Name and Position | Brian Oge (OWNER) |
Authorized Official Contact | 8704519199 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oge Family Medical Clinic Pllc Po Box 905 Nashville AR 71852-0905 Ph: (870) 451-9199 | Oge Family Medical Clinic Pllc 119 Medical Cir Suite 3 Nashville AR 71852-8606 Ph: (870) 451-9199 |
NPI Number | 1578825147 |
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Provider Enumeration Date | 06/11/2012 |
Last Update Date | 04/24/2014 |
Medicare PECOS PAC ID | 2062648215 |
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Medicare Enrollment ID | O20131119000408 |
Identifier | Type | State | Issuer |
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1578825147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Brian T Oge |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972508984 PECOS PAC ID: 2163406117 Enrollment ID: I20040616000989 |
Provider Name | Michael A Troutt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659760635 PECOS PAC ID: 7719202456 Enrollment ID: I20150220001549 |
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Oge Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 N Main St, Suite 2, Nashville, AR 71852 Phone: 870-451-9199 Fax: 870-451-9442 |