| Coxhealth Harrison | |
|
1401 Hwy 65 North Suite 200 Harrison AR 72601 | |
| (870) 743-9744 | |
| (870) 743-9746 |
| Full Name | Coxhealth Harrison |
|---|---|
| Speciality | Family Medicine |
| Location | 1401 Hwy 65 North Suite 200, Harrison, Arkansas |
| Authorized Official Name and Position | Brock Shamel (VP REGIONAL SERVICES) |
| Authorized Official Contact | 4172694368 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coxhealth Harrison Po Box 505673 Saint Louis MO 63150-5673 Ph: (417) 730-6430 | Coxhealth Harrison 1401 Hwy 65 North Suite 200 Harrison AR 72601 Ph: (870) 743-9744 |
| NPI Number | 1629690581 |
|---|---|
| Provider Enumeration Date | 05/14/2020 |
| Last Update Date | 09/30/2024 |
| Medicare PECOS PAC ID | 5799787784 |
|---|---|
| Medicare Enrollment ID | O20200821001843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629690581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Heather Linn Bridges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568757730 PECOS PAC ID: 8729232103 Enrollment ID: I20130212000488 |
| Provider Name | Evan Branscum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437679651 PECOS PAC ID: 7719231141 Enrollment ID: I20200821001932 |
| Provider Name | Kelsey Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598219263 PECOS PAC ID: 7012307069 Enrollment ID: I20211206001450 |
| Provider Name | Courtney M Crawford |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265546170 PECOS PAC ID: 8022232024 Enrollment ID: I20220228001145 |
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