| Sjc-berryville Family Practice | |
|
613 Orchard Dr Berryville AR 72616-5013 | |
| (870) 423-7171 | |
| (870) 423-1032 |
| Full Name | Sjc-berryville Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 613 Orchard Dr, Berryville, Arkansas |
| Authorized Official Name and Position | Vickie Jenkins (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 4178294264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sjc-berryville Family Practice Po Box 2580 Springfield MO 65801-2580 Ph: (417) 829-4620 | Sjc-berryville Family Practice 613 Orchard Dr Berryville AR 72616-5013 Ph: (870) 423-7171 |
| NPI Number | 1447323399 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447323399 | NPI | - | NPPES |
| 150959002 | Medicaid | AR | |
| CR0464 | Other | AR | TRAVELERS/RR MEDICARE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C4889 (Arkansas) | Primary |
North Arkansas Regional Medical Center Berryville Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 Orchard Dr, Berryville, AR 72616 Phone: 870-423-2320 Fax: 870-423-7431 | |
Mercy Clinic Springfield Communities Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 Orchard Dr, Berryville, AR 72616 Phone: 870-423-6661 Fax: 870-423-4374 | |
The Family Doctor Of Berryville, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 S Main St, Berryville, AR 72616 Phone: 870-423-2320 Fax: 866-901-0589 | |
Mercy Clinic-family Medicine Berryville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Carter St, Berryville, AR 72616 Phone: 870-423-6661 Fax: 870-423-4374 | |
Home Town Health Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 S Main St, Berryville, AR 72616 Phone: 870-423-5950 | |
Charles A. Beard, M.d., Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 605 Eureka Ave Ste C, Berryville, AR 72616 Phone: 479-253-6007 Fax: 479-253-9877 |