Salem Family Practice Clinic,pa | |
6640 Congo Rd Benton AR 72019-6913 | |
(501) 794-4110 | |
(501) 316-9360 |
Full Name | Salem Family Practice Clinic,pa |
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Speciality | Clinic/Center |
Location | 6640 Congo Rd, Benton, Arkansas |
Authorized Official Name and Position | Patricia G Mcgarry (PHYSICIAN OWNER) |
Authorized Official Contact | 5017944110 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Salem Family Practice Clinic,pa 6640 Congo Rd Benton AR 72019-6913 Ph: (501) 794-4110 | Salem Family Practice Clinic,pa 6640 Congo Rd Benton AR 72019-6913 Ph: (501) 794-4110 |
NPI Number | 1578591129 |
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Provider Enumeration Date | 06/30/2006 |
Last Update Date | 11/16/2007 |
Medicare PECOS PAC ID | 3375554165 |
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Medicare Enrollment ID | O20071101000741 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578591129 | NPI | - | NPPES |
5F075 | Other | AR | BCBS |
5F075 | Other | AR | MEDICARE GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | MC1718 (Arkansas) | Primary |
Provider Name | Patricia G Mcgarry |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891816153 PECOS PAC ID: 8325069271 Enrollment ID: I20051207000937 |
Epoch Health- Benton, Pllc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Medical Park Dr, Benton, AR 72015 Phone: 877-321-8452 | |
Ascent Childrens Heath Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3214 Winchester Dr., Benton, AR 72015 Phone: 501-326-6160 Fax: 501-326-6161 | |
Family Practice Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1304 Military Rd, Benton, AR 72015 Phone: 501-778-0934 Fax: 501-778-8377 | |
Congo Dental, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2101 Congo Rd Ste C, Benton, AR 72015 Phone: 501-778-1400 Fax: 501-778-6194 | |
Saline Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Dr, Benton, AR 72015 Phone: 501-776-6010 | |
West Side Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 W South St Ste A, Benton, AR 72015 Phone: 501-794-6123 Fax: 501-794-6148 | |
West Side Clinical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 W South St, Benton, AR 72015 Phone: 501-778-3151 Fax: 501-778-7329 |