Southside Medical Clinic | |
623 S 21st St Fort Smith AR 72901-3914 | |
(479) 441-1500 | |
(479) 441-1502 |
Full Name | Southside Medical Clinic |
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Speciality | Internal Medicine |
Location | 623 S 21st St, Fort Smith, Arkansas |
Authorized Official Name and Position | Thuylinh Pham (CEO) |
Authorized Official Contact | 8704245079 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southside Medical Clinic Po Box 310 Mountain Home AR 72654-0310 Ph: (870) 424-0899 | Southside Medical Clinic 623 S 21st St Fort Smith AR 72901-3914 Ph: (479) 441-1500 |
NPI Number | 1194937235 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194937235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | E1751 (Arkansas) | Primary |
Healthmax Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12300 Highway 71 S, Suite A, Fort Smith, AR 72916 Phone: 479-755-6595 Fax: 479-755-6596 | |
Waldron Place Pediatric Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 202, Fort Smith, AR 72903 Phone: 479-452-8311 Fax: 479-452-5032 | |
Remedy Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 100, Fort Smith, AR 72903 Phone: 479-888-8305 Fax: 918-395-9149 | |