Rogers Occupational Medical Clinic | |
1615b West Persimmon Rogers AR 72756 | |
(479) 636-7192 | |
(479) 621-9749 |
Full Name | Rogers Occupational Medical Clinic |
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Speciality | Family Medicine |
Location | 1615b West Persimmon, Rogers, Arkansas |
Authorized Official Name and Position | Timothy Wayne Yawn (PRESIDENT) |
Authorized Official Contact | 4796219749 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rogers Occupational Medical Clinic 1615b West Persimmon Rogers AR 72756 Ph: (479) 636-7192 | Rogers Occupational Medical Clinic 1615b West Persimmon Rogers AR 72756 Ph: (479) 636-7192 |
NPI Number | 1801869151 |
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Provider Enumeration Date | 02/08/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 7810048378 |
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Medicare Enrollment ID | O20090624000381 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801869151 | NPI | - | NPPES |
5B378 | Other | AR | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Timothy W Yawn |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801869185 PECOS PAC ID: 4385795848 Enrollment ID: I20090624000362 |
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