| Taylor Made Clinic | |
|
316 E Main St Mountain View AR 72560-0316 | |
| (870) 269-8700 | |
| Not Available |
| Full Name | Taylor Made Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 316 E Main St, Mountain View, Arkansas |
| Authorized Official Name and Position | Callie R Taylor (OWNER) |
| Authorized Official Contact | 8702698700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Made Clinic 316 E Main St Po Box 312 Mountain View AR 72560-0316 Ph: (870) 269-8700 | Taylor Made Clinic 316 E Main St Mountain View AR 72560-0316 Ph: (870) 269-8700 |
| NPI Number | 1073282513 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 08/05/2024 |
| Medicare PECOS PAC ID | 6103212634 |
|---|---|
| Medicare Enrollment ID | O20220408000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073282513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Callie Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851758973 PECOS PAC ID: 0345539417 Enrollment ID: I20160512000496 |
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