Portland Elementary Clinic is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Portland, Arkansas. The current practice location for Portland Elementary Clinic is 314 Highway 160 E, Portland, Arkansas. For appointments, you can reach them via phone at
(870) 538-5414. The mailing address for Portland Elementary Clinic is Po Box 509, Dermott, Arkansas and phone number is (870) 942-3000.
Portland Elementary Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1649636986. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(870) 538-5414.
Primary Care Clinic Profile
| Full Name | Portland Elementary Clinic |
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| Speciality | Clinic/Center |
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| Location | 314 Highway 160 E, Portland, Arkansas |
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| Authorized Official Name and Position | Gary Allan Nichols (CEO) |
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| Authorized Official Contact | 8709423000 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Portland Elementary Clinic
Po Box 509
Dermott
AR 71638-0509
Ph: (870) 942-3000 | Portland Elementary Clinic
314 Highway 160 E
Portland
AR 71663-9262
Ph: (870) 538-5414 |
NPI Details:
| NPI Number | 1649636986 |
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| Provider Enumeration Date | 12/31/2015 |
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| Last Update Date | 07/10/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 5193785590 |
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| Medicare Enrollment ID | O20160520000551 |
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Medical Identifiers
Medical identifiers for Portland Elementary Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649636986 | NPI | - | NPPES |
| 214420749 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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