Schmitz Family Practice And Rural Health, Pllc | |
1006 E Main St Charleston AR 72933-9388 | |
(479) 965-7702 | |
(479) 965-2180 |
Full Name | Schmitz Family Practice And Rural Health, Pllc |
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Speciality | Clinic/Center |
Location | 1006 E Main St, Charleston, Arkansas |
Authorized Official Name and Position | James L. Schmitz (OWNER) |
Authorized Official Contact | 4799657702 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Schmitz Family Practice And Rural Health, Pllc 1006 E Main St Charleston AR 72933-9388 Ph: (479) 965-7702 | Schmitz Family Practice And Rural Health, Pllc 1006 E Main St Charleston AR 72933-9388 Ph: (479) 965-7702 |
NPI Number | 1285949495 |
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Provider Enumeration Date | 08/11/2010 |
Last Update Date | 11/23/2010 |
Medicare PECOS PAC ID | 9537285606 |
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Medicare Enrollment ID | O20100927000100 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285949495 | NPI | - | NPPES |
5G612 | Other | AR | MEDICARE PTAN |
184001002 | Medicaid | AR | |
5J293 | Other | AR | MEDICARE - BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | James L Schmitz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881681864 PECOS PAC ID: 5890763080 Enrollment ID: I20040924000558 |
Provider Name | Timbi Dawn West |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508853466 PECOS PAC ID: 6507826393 Enrollment ID: I20041015000589 |
Western Arkansas Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2617 E Main St, Charleston, AR 72933 Phone: 479-965-8888 Fax: 479-965-8889 | |
Cooper Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 E Main St, Charleston, AR 72933 Phone: 479-274-2000 Fax: 479-274-2194 | |
Cooper Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 E Main St, Charleston, AR 72933 Phone: 479-274-2000 |