Pocahontas Medical Clinic Pa | |
2901 Medical Center Dr Pocahontas AR 72455-9438 | |
(870) 892-4467 | |
(870) 892-4407 |
Full Name | Pocahontas Medical Clinic Pa |
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Speciality | Family Medicine |
Location | 2901 Medical Center Dr, Pocahontas, Arkansas |
Authorized Official Name and Position | Brent E Holt (PHYSICIAN OWNER) |
Authorized Official Contact | 8708924467 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pocahontas Medical Clinic Pa 2901 Medical Center Dr Pocahontas AR 72455-9438 Ph: (870) 892-4467 | Pocahontas Medical Clinic Pa 2901 Medical Center Dr Pocahontas AR 72455-9438 Ph: (870) 892-4467 |
NPI Number | 1508855305 |
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Provider Enumeration Date | 10/14/2005 |
Last Update Date | 06/18/2010 |
Medicare PECOS PAC ID | 4688651029 |
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Medicare Enrollment ID | O20040702000397 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508855305 | NPI | - | NPPES |
160097729 | Medicaid | AR | |
139208002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Alexander J Baltz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871582379 PECOS PAC ID: 5991782344 Enrollment ID: I20040702000434 |
Provider Name | Justin Dawson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740279553 PECOS PAC ID: 1355369372 Enrollment ID: I20111216000422 |
Provider Name | Brent Holt |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053300558 PECOS PAC ID: 4082632906 Enrollment ID: I20120216000284 |
Provider Name | Holly T Brigance |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730332511 PECOS PAC ID: 8729243589 Enrollment ID: I20120628000186 |
Provider Name | Cammie M Sifford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235385238 PECOS PAC ID: 5496910762 Enrollment ID: I20120712000090 |
Provider Name | Tiffany A Baker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962882902 PECOS PAC ID: 3779899711 Enrollment ID: I20150904001688 |
Provider Name | Shannon J Pogue |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184082273 PECOS PAC ID: 0244535227 Enrollment ID: I20160301000196 |
Provider Name | Marissa E Hogan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639621121 PECOS PAC ID: 1456634856 Enrollment ID: I20170209000649 |
Provider Name | Ashley M Karr |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295928018 PECOS PAC ID: 9638432289 Enrollment ID: I20180412000251 |
Provider Name | Natasha M Wantulok |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457747297 PECOS PAC ID: 2365758653 Enrollment ID: I20180718002218 |
Provider Name | Lauren D Garner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295218899 PECOS PAC ID: 2860744190 Enrollment ID: I20181015000901 |
Provider Name | Lara Ann Mcglothlin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790344562 PECOS PAC ID: 3476883364 Enrollment ID: I20190918003571 |
Provider Name | Margrett Alice Mcpherson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457990889 PECOS PAC ID: 2163858564 Enrollment ID: I20200203002228 |
Provider Name | Tara Meghan Kendall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164052742 PECOS PAC ID: 7214367176 Enrollment ID: I20200417001094 |
Provider Name | Kayla L Broadway |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467020529 PECOS PAC ID: 4183026867 Enrollment ID: I20210719000793 |
Provider Name | Melanie Faye Golliver |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043979024 PECOS PAC ID: 7517350051 Enrollment ID: I20220207000358 |
Provider Name | Sarah Kendall |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861765976 PECOS PAC ID: 4981072014 Enrollment ID: I20221122001163 |
Provider Name | Andrew C Bryson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861021040 PECOS PAC ID: 7719305085 Enrollment ID: I20230713004262 |
1st Choice Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1016 Mcquay Ave, Pocahontas, AR 72422 Phone: 870-892-9949 Fax: 870-892-0208 | |
Pocahontas Medical Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Market Dr, Pocahontas, AR 72455 Phone: 870-892-4467 Fax: 870-892-4467 | |
St. Bernards Five Rivers Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2018 Highway 67 S, Pocahontas, AR 72455 Phone: 870-202-1048 |