Och Benton County Clinic | |
102 Russell Road Rogers AR 72756 | |
(479) 278-7189 | |
(479) 278-2199 |
Full Name | Och Benton County Clinic |
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Speciality | Clinic/Center |
Location | 102 Russell Road, Rogers, Arkansas |
Authorized Official Name and Position | Paul G Taylor (CEO) |
Authorized Official Contact | 4178374004 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Och Benton County Clinic 102 Russell Road Rogers AR 72756 Ph: () - | Och Benton County Clinic 102 Russell Road Rogers AR 72756 Ph: (479) 278-7189 |
NPI Number | 1154945483 |
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Provider Enumeration Date | 06/02/2020 |
Last Update Date | 06/12/2020 |
Medicare PECOS PAC ID | 5092616276 |
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Medicare Enrollment ID | O20200617003148 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154945483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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