Ouachita Valley Family Practice/a Baptist Affiliate | |
353 Cash Rd Sw Camden AR 71701-3704 | |
(870) 836-8101 | |
(870) 837-6833 |
Full Name | Ouachita Valley Family Practice/a Baptist Affiliate |
---|---|
Speciality | Clinic/Center |
Location | 353 Cash Rd Sw, Camden, Arkansas |
Authorized Official Name and Position | Will Rusher (CEO) |
Authorized Official Contact | 5018127500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ouachita Valley Family Practice/a Baptist Affiliate Po Box 757 Camden AR 71711-0757 Ph: (870) 836-8101 | Ouachita Valley Family Practice/a Baptist Affiliate 353 Cash Rd Sw Camden AR 71701-3704 Ph: (870) 836-8101 |
NPI Number | 1538132402 |
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Provider Enumeration Date | 02/09/2006 |
Last Update Date | 08/30/2023 |
Medicare PECOS PAC ID | 7911802079 |
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Medicare Enrollment ID | O20040121000189 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538132402 | NPI | - | NPPES |
128619002 | Medicaid | AR | |
5B779 | Other | AR | BLUE CROSS BLUE SHIELD |
770001002 | Other | AR | BREASTCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Milton Brunson |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1447227244 PECOS PAC ID: 9931192374 Enrollment ID: I20040403000083 |
Provider Name | Johnathan W Lewis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699741298 PECOS PAC ID: 7214911627 Enrollment ID: I20040615000200 |
Provider Name | Andrew G Kumpuris |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1669483293 PECOS PAC ID: 1254319270 Enrollment ID: I20040707001404 |
Provider Name | Joseph A Deluca |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417969478 PECOS PAC ID: 9335146844 Enrollment ID: I20061025000752 |
Provider Name | David H Mosley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619943271 PECOS PAC ID: 9335274919 Enrollment ID: I20100322000415 |
Provider Name | Lawrence F Braden |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447223060 PECOS PAC ID: 6507991064 Enrollment ID: I20100323000342 |
Provider Name | Judson N Hout |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932183142 PECOS PAC ID: 2163559469 Enrollment ID: I20100419000281 |
Provider Name | Mark R Crump |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578530366 PECOS PAC ID: 1456489582 Enrollment ID: I20100512000086 |
Provider Name | William D Dedman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750342804 PECOS PAC ID: 6002945672 Enrollment ID: I20100520000693 |
Provider Name | Nicole Critton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700244985 PECOS PAC ID: 4587711130 Enrollment ID: I20160404000887 |
Provider Name | Stephanie M Dunn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578000287 PECOS PAC ID: 2062796170 Enrollment ID: I20170308001223 |
Provider Name | Melanie L Hearnsberger Mcguire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760996276 PECOS PAC ID: 5799044475 Enrollment ID: I20180126000258 |
Provider Name | Chelsea J Bounds |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033626585 PECOS PAC ID: 6507120508 Enrollment ID: I20180427000438 |
Provider Name | Brittany Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750846739 PECOS PAC ID: 2163762295 Enrollment ID: I20190327000997 |
Provider Name | Tomekia S White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992192769 PECOS PAC ID: 8628398393 Enrollment ID: I20190628000843 |
Provider Name | Harlee A Pennington |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114658291 PECOS PAC ID: 1658751813 Enrollment ID: I20220706000216 |
Rollin Wycoff Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2285 Maul Rd, Camden, AR 71701 Phone: 870-807-1294 Fax: 866-625-0076 | |
Ouachita Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 476 Hospital Dr, Camden, AR 71701 Phone: 870-836-8462 | |
The Lewis Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 430 Magnolia Rd, Camden, AR 71701 Phone: 870-836-5709 Fax: 870-836-5837 | |
Baptist Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 353 Cash Rd Sw, Camden, AR 71701 Phone: 870-836-8101 | |
Ouachita Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Hospital Dr Ste 4, Camden, AR 71701 Phone: 870-837-2530 Fax: 870-836-1358 | |
First Choice Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 476 Hospital Dr, Camden, AR 71701 Phone: 870-800-9002 | |
Access Medical Clinic Arkansas Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 476 Hospital Dr Ste 2, Camden, AR 71701 Phone: 870-390-4245 |