Salem Clinic Pllc | |
661 N Main St Salem AR 72576-9451 | |
(870) 895-3281 | |
(870) 895-3118 |
Full Name | Salem Clinic Pllc |
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Speciality | Clinic/Center |
Location | 661 N Main St, Salem, Arkansas |
Authorized Official Name and Position | Griffin A Arnold (OWNER/PHYSICIAN) |
Authorized Official Contact | 8708953281 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Salem Clinic Pllc Po Box 457 Salem AR 72576-0457 Ph: (870) 895-3281 | Salem Clinic Pllc 661 N Main St Salem AR 72576-9451 Ph: (870) 895-3281 |
NPI Number | 1316916802 |
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Provider Enumeration Date | 03/16/2006 |
Last Update Date | 07/16/2007 |
Medicare PECOS PAC ID | 6800828732 |
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Medicare Enrollment ID | O20050831000472 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316916802 | NPI | - | NPPES |
C7652 | Other | AR | GA PERSONAL LICENSE NUMBE |
ANP1006 | Other | AR | RA PERSONAL LICENSE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | C7652 (Arkansas) | Primary |
Provider Name | Griffin Arnold |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073512828 PECOS PAC ID: 1658362512 Enrollment ID: I20100601000218 |
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