St Francis House Nwa, Inc | |
451 S Holly St Siloam Springs AR 72761-3018 | |
(479) 524-3141 | |
(479) 751-2878 |
Full Name | St Francis House Nwa, Inc |
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Speciality | Clinic/Center |
Location | 451 S Holly St, Siloam Springs, 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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St Francis House Nwa, Inc 614 E Emma Ave Ste 300 Springdale AR 72764-4469 Ph: (479) 751-7417 | St Francis House Nwa, Inc 451 S Holly St Siloam Springs AR 72761-3018 Ph: (479) 524-3141 |
NPI Number | 1386406460 |
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Provider Enumeration Date | 01/25/2024 |
Last Update Date | 01/25/2024 |
Medicare PECOS PAC ID | 0042262495 |
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Medicare Enrollment ID | O20240429002441 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386406460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Siloam Springs Sbhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 N Mount Olive St, Suite 1, Siloam Springs, AR 72761 Phone: 479-524-8175 Fax: 479-751-2878 | |
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