The Lewis Clinic | |
430 Magnolia Rd Camden AR 71701-4146 | |
(870) 836-5709 | |
(870) 836-5837 |
Full Name | The Lewis Clinic |
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Speciality | Family Medicine |
Location | 430 Magnolia Rd, Camden, Arkansas |
Authorized Official Name and Position | Johnathan Lewis (OWNER) |
Authorized Official Contact | 8708365709 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Lewis Clinic 430 Magnolia Rd Camden AR 71701-4146 Ph: (870) 836-5709 | The Lewis Clinic 430 Magnolia Rd Camden AR 71701-4146 Ph: (870) 836-5709 |
NPI Number | 1265047187 |
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Provider Enumeration Date | 09/09/2020 |
Last Update Date | 08/27/2024 |
Medicare PECOS PAC ID | 2668891763 |
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Medicare Enrollment ID | O20200923000480 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265047187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Provider Name | Johnathan W Lewis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699741298 PECOS PAC ID: 7214911627 Enrollment ID: I20040615000200 |
Provider Name | Brent D Blackburn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548669823 PECOS PAC ID: 2567684400 Enrollment ID: I20141110001953 |
Provider Name | Randi Leann Beard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366054959 PECOS PAC ID: 7618395864 Enrollment ID: I20200921000681 |
Provider Name | Lindsey Freeland |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124881073 PECOS PAC ID: 7012354913 Enrollment ID: I20240327003524 |
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