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235 South Buchanan Avenue Suite 1 Fayetteville AR 72701 | |
(479) 751-7417 | |
(479) 751-2878 |
Full Name | |
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Speciality | Clinic/Center |
Location | 235 South Buchanan Avenue, Fayetteville, 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 |
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614 E Emma Ave Ste 300 Springdale AR 72764-4469 Ph: (479) 751-7417 | 235 South Buchanan Avenue Suite 1 Fayetteville AR 72701 Ph: (479) 751-7417 |
NPI Number | 1316639149 |
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Provider Enumeration Date | 05/22/2023 |
Last Update Date | 06/27/2023 |
Medicare PECOS PAC ID | 0042262495 |
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Medicare Enrollment ID | O20230913001210 |
Identifier | Type | State | Issuer |
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1316639149 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
K E Management Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 E Augustine Ln Ste 7, Fayetteville, AR 72703 Phone: 479-200-9812 Fax: 866-243-7203 | |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1792 E Joyce Blvd, Fayetteville, AR 72703 Phone: 501-500-5001 Fax: 501-500-5001 | |