St. Bernards First Care Highland | |
1995 Highway 62 412 Highland AR 72542-9262 | |
(870) 856-5620 | |
(870) 856-5623 |
Full Name | St. Bernards First Care Highland |
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Speciality | Family Medicine |
Location | 1995 Highway 62 412, Highland, Arkansas |
Authorized Official Name and Position | John Lieblong (PRESIDENT) |
Authorized Official Contact | 8709327024 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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St. Bernards First Care Highland Po Box 1331 Jonesboro AR 72403-1331 Ph: (870) 932-7024 | St. Bernards First Care Highland 1995 Highway 62 412 Highland AR 72542-9262 Ph: (870) 856-5620 |
NPI Number | 1154812402 |
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Provider Enumeration Date | 05/22/2018 |
Last Update Date | 05/22/2018 |
Medicare PECOS PAC ID | 7315844586 |
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Medicare Enrollment ID | O20180612000177 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154812402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Nancy L Bruce |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922176569 PECOS PAC ID: 8921086059 Enrollment ID: I20040713001308 |
Provider Name | Kirk A Coward |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356638290 PECOS PAC ID: 1658541875 Enrollment ID: I20110825000760 |
Provider Name | Nicholas W Guinn |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710253208 PECOS PAC ID: 6608181045 Enrollment ID: I20150814012761 |
Provider Name | Savannah Coin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043692528 PECOS PAC ID: 6901118249 Enrollment ID: I20160229002915 |
Provider Name | Emily B Carpenter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780035998 PECOS PAC ID: 6204122302 Enrollment ID: I20160915000507 |
Provider Name | Samantha D Dill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124681465 PECOS PAC ID: 3072842673 Enrollment ID: I20190906002338 |
Provider Name | Barbara C Shackelford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164907283 PECOS PAC ID: 9537588298 Enrollment ID: I20200929002495 |
1st Choice Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2178 Hwy 62/412, Highland, AR 72542 Phone: 870-857-3334 | |
Garner Family Medical Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1995 Highway 62 412, Highland, AR 72542 Phone: 870-856-5620 Fax: 870-856-5623 | |
Dr. George W. Jackson Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1440 Highway 62 412, Highland, AR 72542 Phone: 870-856-6000 Fax: 870-856-6001 | |
Scheel Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1932 Highway 62 412, Highland, AR 72542 Phone: 870-955-5058 |