| Mcclintock Family Medicine | |
|
306 N Chestnut St Harrison AR 72601-4453 | |
| (870) 741-8559 | |
| (870) 741-8423 |
| Full Name | Mcclintock Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 306 N Chestnut St, Harrison, Arkansas |
| Authorized Official Name and Position | Jacob Nelson Mcclintock (OWNER) |
| Authorized Official Contact | 8707418559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcclintock Family Medicine Po Box 1497 Harrison AR 72602-1497 Ph: (870) 741-8559 | Mcclintock Family Medicine 306 N Chestnut St Harrison AR 72601-4453 Ph: (870) 741-8559 |
| NPI Number | 1952540387 |
|---|---|
| Provider Enumeration Date | 02/09/2009 |
| Last Update Date | 10/18/2023 |
| Medicare PECOS PAC ID | 2062561541 |
|---|---|
| Medicare Enrollment ID | O20090513000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952540387 | NPI | - | NPPES |
| 178239002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shelia Mae Howerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922071695 PECOS PAC ID: 4183515893 Enrollment ID: I20040323000337 |
| Provider Name | David A Stills |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154311595 PECOS PAC ID: 8123006079 Enrollment ID: I20040708000835 |
| Provider Name | Thomas S Leslie |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1588635320 PECOS PAC ID: 5092791897 Enrollment ID: I20090513000431 |
| Provider Name | Jacob N. Mcclintock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033301320 PECOS PAC ID: 4486794997 Enrollment ID: I20110112000970 |
| Provider Name | Jean M Leslie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801066808 PECOS PAC ID: 9739329632 Enrollment ID: I20130716000852 |
| Provider Name | Mandi K Strode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134517014 PECOS PAC ID: 4385968098 Enrollment ID: I20150128000618 |
| Provider Name | Jean A Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316308646 PECOS PAC ID: 2860791555 Enrollment ID: I20160502001392 |
| Provider Name | Mary E Seawright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326496936 PECOS PAC ID: 2365734415 Enrollment ID: I20191126002096 |
| Provider Name | Sarah Elizabeth Mcclintock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861683435 PECOS PAC ID: 4183892896 Enrollment ID: I20210129002507 |
| Provider Name | Amanda Nicole Tollett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497329247 PECOS PAC ID: 4183062847 Enrollment ID: I20240401003113 |
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