Siloam Springs Sbhc | |
1500 N Mount Olive St Suite 1 Siloam Springs AR 72761-9509 | |
(479) 524-8175 | |
(479) 751-2878 |
Full Name | Siloam Springs Sbhc |
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Speciality | Clinic/Center |
Location | 1500 N Mount Olive St, Siloam Springs, Arkansas |
Authorized Official Name and Position | James Semingson (CEO) |
Authorized Official Contact | 4797517417 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Siloam Springs Sbhc 614 E Emma Ave Suite 300 Springdale AR 72764-4469 Ph: (479) 751-7417 | Siloam Springs Sbhc 1500 N Mount Olive St Suite 1 Siloam Springs AR 72761-9509 Ph: (479) 524-8175 |
NPI Number | 1083034029 |
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Provider Enumeration Date | 04/17/2014 |
Last Update Date | 01/15/2020 |
Medicare PECOS PAC ID | 0042262495 |
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Medicare Enrollment ID | O20140626000373 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083034029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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