Premier Family Health Care Llc | |
310 N Progress Ave Siloam Springs AR 72761-4093 | |
(479) 225-5429 | |
Not Available |
Full Name | Premier Family Health Care Llc |
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Speciality | Clinic/Center |
Location | 310 N Progress Ave, Siloam Springs, Arkansas |
Authorized Official Name and Position | Tracey Moore (MEMBER) |
Authorized Official Contact | 4792255429 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Premier Family Health Care Llc 11005 N Wedington Blacktop Rd Lincoln AR 72744-9459 Ph: () - | Premier Family Health Care Llc 310 N Progress Ave Siloam Springs AR 72761-4093 Ph: (479) 225-5429 |
NPI Number | 1558102228 |
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Provider Enumeration Date | 06/05/2024 |
Last Update Date | 12/06/2024 |
Medicare PECOS PAC ID | 8820535545 |
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Medicare Enrollment ID | O20240731000051 |
Identifier | Type | State | Issuer |
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1558102228 | NPI | - | NPPES |
Provider Name | Emory Klindworth |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700403946 PECOS PAC ID: 0244656957 Enrollment ID: I20200812001006 |
Provider Name | Kasilynn Alese Shaddy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144836909 PECOS PAC ID: 2466872031 Enrollment ID: I20201020002442 |
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