| Simon Direct Primary Care | |
|
3864 Highway 392 W Harrison AR 72601-9683 | |
| (870) 204-5645 | |
| (855) 701-1410 |
| Full Name | Simon Direct Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 3864 Highway 392 W, Harrison, Arkansas |
| Authorized Official Name and Position | Nicholas Conrad Simon (OFFICE MANAGER) |
| Authorized Official Contact | 8702045645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simon Direct Primary Care 3864 Highway 392 W Harrison AR 72601-9683 Ph: (870) 204-5645 | Simon Direct Primary Care 3864 Highway 392 W Harrison AR 72601-9683 Ph: (870) 204-5645 |
| NPI Number | 1730459454 |
|---|---|
| Provider Enumeration Date | 01/11/2012 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 1153589627 |
|---|---|
| Medicare Enrollment ID | O20120301000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730459454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-5961 (Arkansas) | Primary |
| Provider Name | Rebecca Simon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134340276 PECOS PAC ID: 8921176686 Enrollment ID: I20090708000080 |
| Provider Name | Nancy S Svehla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366717316 PECOS PAC ID: 4183887367 Enrollment ID: I20120525000509 |
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