| Portland Health Care | |
|
233 N Main St Portland AR 71663 | |
| (870) 737-2221 | |
| (855) 878-5991 |
| Full Name | Portland Health Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 233 N Main St, Portland, Arkansas |
| Authorized Official Name and Position | Gary Allan Nichols (CEO) |
| Authorized Official Contact | 8709423000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Portland Health Care Po Box 509 Dermott AR 71638-0509 Ph: (870) 942-3000 | Portland Health Care 233 N Main St Portland AR 71663 Ph: (870) 737-2221 |
| NPI Number | 1316106388 |
|---|---|
| Provider Enumeration Date | 06/05/2008 |
| Last Update Date | 07/17/2024 |
| Medicare PECOS PAC ID | 5193785590 |
|---|---|
| Medicare Enrollment ID | O20110502000760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316106388 | NPI | - | NPPES |
| 117615749 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Portland Elementary Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 314 Highway 160 E, Portland, AR 71663 Phone: 870-538-5414 Fax: 870-538-5412 |