Paragould Family Care, P. A. | |
5 Market Pl Paragould AR 72450-3555 | |
(870) 236-4001 | |
(870) 236-4009 |
Full Name | Paragould Family Care, P. A. |
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Speciality | Family Medicine |
Location | 5 Market Pl, Paragould, Arkansas |
Authorized Official Name and Position | Clarence Leonard Kemp (PARTNER) |
Authorized Official Contact | 8702364001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Paragould Family Care, P. A. 5 Market Pl Paragould AR 72450-3555 Ph: (870) 236-4001 | Paragould Family Care, P. A. 5 Market Pl Paragould AR 72450-3555 Ph: (870) 236-4001 |
NPI Number | 1467806836 |
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Provider Enumeration Date | 04/21/2016 |
Last Update Date | 03/17/2022 |
Medicare PECOS PAC ID | 2860789286 |
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Medicare Enrollment ID | O20160928000667 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467806836 | NPI | - | NPPES |
216692002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Judy A Leach |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790747525 PECOS PAC ID: 2466418843 Enrollment ID: I20041207001018 |
Provider Name | Clarence Leonard Kemp |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700849684 PECOS PAC ID: 5991761397 Enrollment ID: I20041207001200 |
Provider Name | Cecil Np Massey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073576955 PECOS PAC ID: 3577562198 Enrollment ID: I20061208000449 |
Provider Name | Pamela G Hodges |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346561461 PECOS PAC ID: 1456484518 Enrollment ID: I20100727000573 |
Provider Name | Teresa D Gonzalez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639481450 PECOS PAC ID: 4486778552 Enrollment ID: I20100825001084 |
Provider Name | Latoya J. Coward |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184903023 PECOS PAC ID: 6204008808 Enrollment ID: I20111004000066 |
Provider Name | Justin D Kemp |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255688016 PECOS PAC ID: 6305095373 Enrollment ID: I20121008000207 |
Provider Name | Vincent Lee |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639498462 PECOS PAC ID: 8224283585 Enrollment ID: I20130313000059 |
Provider Name | Toni T Garner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598013815 PECOS PAC ID: 0547405748 Enrollment ID: I20130316000001 |
Provider Name | Lindsay M Sheets |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386296838 PECOS PAC ID: 7517297195 Enrollment ID: I20190924003439 |
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