| Pillow Clinic @ Marvell | |
|
1008 Main Street Marvell AR 72366 | |
| (870) 829-2521 | |
| (870) 829-2941 |
| Full Name | Pillow Clinic @ Marvell |
|---|---|
| Speciality | Family Medicine |
| Location | 1008 Main Street, Marvell, Arkansas |
| Authorized Official Name and Position | Tara Adams (CLINIC MANAGER) |
| Authorized Official Contact | 8705725996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pillow Clinic @ Marvell 1008 Main Street Marvell AR 72366 Ph: (870) 829-2521 | Pillow Clinic @ Marvell 1008 Main Street Marvell AR 72366 Ph: (870) 829-2521 |
| NPI Number | 1285861013 |
|---|---|
| Provider Enumeration Date | 06/19/2009 |
| Last Update Date | 08/01/2023 |
| Medicare PECOS PAC ID | 7517958630 |
|---|---|
| Medicare Enrollment ID | O20090728000160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285861013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | James H Pillow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588698906 PECOS PAC ID: 2769473883 Enrollment ID: I20040623000928 |
| Provider Name | Jill S Pillow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528175130 PECOS PAC ID: 0547299810 Enrollment ID: I20050806000186 |
| Provider Name | Edward L Pillow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659387181 PECOS PAC ID: 1153321294 Enrollment ID: I20070113000037 |
| Provider Name | Lindsay D Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326565607 PECOS PAC ID: 9931474343 Enrollment ID: I20171011002744 |
| Provider Name | Tiffany D Boelens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831780097 PECOS PAC ID: 0143638452 Enrollment ID: I20210426000615 |
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Marvell Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 Main St, Marvell, AR 72366 Phone: 870-829-2521 | |
Pillow Clinic @ Marvell Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 Main St., Marvell, AR 72366 Phone: 870-829-2521 Fax: 870-829-2941 |