Southside Medical Clinic | |
623 S 21st St Fort Smith AR 72901-3914 | |
(479) 441-1500 | |
(479) 441-1502 |
Full Name | Southside Medical Clinic |
---|---|
Speciality | Internal Medicine |
Location | 623 S 21st St, Fort Smith, Arkansas |
Authorized Official Name and Position | Thuylinh Ho Pham (PHYSICIAN) |
Authorized Official Contact | 4794411500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Southside Medical Clinic 623 S 21st St Fort Smith AR 72901-3914 Ph: (479) 441-1500 | Southside Medical Clinic 623 S 21st St Fort Smith AR 72901-3914 Ph: (479) 441-1500 |
NPI Number | 1205248259 |
---|---|
Provider Enumeration Date | 05/27/2014 |
Last Update Date | 05/27/2014 |
Medicare PECOS PAC ID | 7214151661 |
---|---|
Medicare Enrollment ID | O20140605000542 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205248259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | E-1751 (Arkansas) | Primary |
Provider Name | Thuylinh H Pham |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356396790 PECOS PAC ID: 7012994593 Enrollment ID: I20040701001516 |
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 | |
Rvpcs Northside Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4900 Kelley Highway, Fort Smith, AR 72904 Phone: 479-785-5700 Fax: 479-785-5708 | |
Fort Smith Eye Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8301 Rogers Ave, Doctor's Office, Fort Smith, AR 72903 Phone: 479-452-1580 Fax: 479-452-6910 | |
Premise Health - Rheem Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5600 Old Greenwood Rd, Fort Smith, AR 72908 Phone: 479-242-4290 Fax: 479-242-4640 | |
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 | |
Available Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7320 Rogers Ave, Suite 1, Fort Smith, AR 72903 Phone: 479-452-6362 Fax: 479-484-5652 |