| Scribner Family Practice Clinic, Llc | |
|
115 Turner Ln Salem AR 72576-5600 | |
| (870) 859-3238 | |
| Not Available |
| Full Name | Scribner Family Practice Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 115 Turner Ln, Salem, Arkansas |
| Authorized Official Name and Position | John Scribner (MANAGING EMPLOYEE) |
| Authorized Official Contact | 8708953238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scribner Family Practice Clinic, Llc Po Box 648 Salem AR 72576-0648 Ph: (870) 859-3238 | Scribner Family Practice Clinic, Llc 115 Turner Ln Salem AR 72576-5600 Ph: (870) 859-3238 |
| NPI Number | 1134534027 |
|---|---|
| Provider Enumeration Date | 06/30/2014 |
| Last Update Date | 04/21/2016 |
| Medicare PECOS PAC ID | 4587986559 |
|---|---|
| Medicare Enrollment ID | O20141202000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134534027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | E3933 (Arkansas) | Primary |
| Provider Name | John Scribner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972672897 PECOS PAC ID: 0840281820 Enrollment ID: I20040519000763 |
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