| St Francis House Nwa, Inc | |
|
376 N Center St Elkins AR 72727-3001 | |
| (479) 751-7417 | |
| (479) 751-2878 |
| Full Name | St Francis House Nwa, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 376 N Center St, Elkins, Arkansas |
| Authorized Official Name and Position | James A 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 |
|---|---|
| St Francis House Nwa, Inc 614 E Emma Ave Ste 300 Springdale AR 72764-4469 Ph: (479) 751-7417 | St Francis House Nwa, Inc 376 N Center St Elkins AR 72727-3001 Ph: (479) 751-7417 |
| NPI Number | 1578214615 |
|---|---|
| Provider Enumeration Date | 01/11/2022 |
| Last Update Date | 01/11/2022 |
| Medicare PECOS PAC ID | 0042262495 |
|---|---|
| Medicare Enrollment ID | O20220527002133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578214615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Mervin Leader |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255522611 PECOS PAC ID: 8729175583 Enrollment ID: I20071026000338 |
| Provider Name | Diana J Holte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114319605 PECOS PAC ID: 2860719341 Enrollment ID: I20150326000475 |
| Provider Name | Gary Browning Berner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659639664 PECOS PAC ID: 5991022816 Enrollment ID: I20161004000823 |
Medical Associates Of Northwest Arkansas Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 376 N Center Street, Elkins, AR 72727 Phone: 479-442-2822 Fax: 479-582-1754 |