Prairie Grove School Based Health Center | |
801 Viney Grove Rd Prairie Grove AR 72753-2623 | |
(479) 751-7417 | |
(479) 751-2878 |
Full Name | Prairie Grove School Based Health Center |
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Speciality | Clinic/Center |
Location | 801 Viney Grove Rd, Prairie Grove, Arkansas |
Authorized Official Name and Position | James Semingson (CEO) |
Authorized Official Contact | 4797517417 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Prairie Grove School Based Health Center 614 E Emma Ave Suite 300 Springdale AR 72764-4634 Ph: (479) 751-7417 | Prairie Grove School Based Health Center 801 Viney Grove Rd Prairie Grove AR 72753-2623 Ph: (479) 751-7417 |
NPI Number | 1518389089 |
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Provider Enumeration Date | 01/17/2014 |
Last Update Date | 01/15/2020 |
Medicare PECOS PAC ID | 0042262495 |
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Medicare Enrollment ID | O20140805000169 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518389089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Jennifer Bingham Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15785 W Highway 62 Ste 1, Prairie Grove, AR 72753 Phone: 479-351-9476 Fax: 479-287-4586 | |
Medical Associates Of Northwest Arkansas Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 775 E Douglas St, Prairie Grove, AR 72753 Phone: 479-267-5600 Fax: 479-846-5056 | |
All About Therapy, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 902 Grant Ave, Prairie Grove, AR 72753 Phone: 479-283-7899 | |
Access Medical Clinic Arkansas Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 871 E Heritage Parkway, Prairie Grove, AR 72753 Phone: 479-487-2001 Fax: 870-895-2164 |