Open Mri Of Hot Springs | |
3633 Central Ave Ste 100 Hot Springs AR 71913-6404 | |
(501) 623-6736 | |
(501) 623-1610 |
Full Name | Open Mri Of Hot Springs |
---|---|
Speciality | Physiological Laboratory |
Location | 3633 Central Ave Ste 100, Hot Springs, Arkansas |
Authorized Official Name and Position | Kate Roelle (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 6146891691 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Open Mri Of Hot Springs Po Box 746580 Atlanta GA 30374-6580 Ph: () - | Open Mri Of Hot Springs 3633 Central Ave Ste 100 Hot Springs AR 71913-6404 Ph: (501) 623-6736 |
NPI Number | 1053353441 |
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Provider Enumeration Date | 06/12/2006 |
Last Update Date | 11/03/2023 |
Medicare PECOS PAC ID | 2163473422 |
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Medicare Enrollment ID | O20050203000307 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053353441 | NPI | - | NPPES |
139620002 | Medicaid | AR | |
5C260 | Other | AR | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
293D00000X | Physiological Laboratory | (* (Not Available)) | Primary |
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