| Prescott Family Clinic P A | |
|
301 Hale Ave Prescott AR 71857-3330 | |
| (870) 887-6651 | |
| (870) 887-2008 |
| Full Name | Prescott Family Clinic P A |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 Hale Ave, Prescott, Arkansas |
| Authorized Official Name and Position | Michael Clarence Young (PRESIDENT) |
| Authorized Official Contact | 8708876651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prescott Family Clinic P A 301 Hale Ave Prescott AR 71857-3330 Ph: (870) 887-6651 | Prescott Family Clinic P A 301 Hale Ave Prescott AR 71857-3330 Ph: (870) 887-6651 |
| NPI Number | 1831150747 |
|---|---|
| Provider Enumeration Date | 03/30/2006 |
| Last Update Date | 09/09/2013 |
| Medicare PECOS PAC ID | 9739162231 |
|---|---|
| Medicare Enrollment ID | O20040607001545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831150747 | NPI | - | NPPES |
| 56900 | Other | AR | BCBS |
| 1831150747 | Medicaid | AR | |
| DG5104 | Other | AR | GBA RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Michael C Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124026836 PECOS PAC ID: 1557343258 Enrollment ID: I20040605000320 |
Baptist Health Family Clinic - Prescott Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1480 W 1st St N, Suite 2, Prescott, AR 71857 Phone: 870-887-0155 Fax: 870-887-0381 | |
Collom And Carney Clinic Prescott Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1440 W 1st N, Prescott, AR 71853 Phone: 870-887-8001 |