| Uams Family Medical Clinic-magnolia | |
|
104 E Columbia Magnolia AR 71753-2436 | |
| (870) 862-2489 | |
| Not Available |
| Full Name | Uams Family Medical Clinic-magnolia |
|---|---|
| Speciality | Clinic/Center |
| Location | 104 E Columbia, Magnolia, Arkansas |
| Authorized Official Name and Position | Melony Goodhand (VICE CHANCELLOR FOR FINANCE AND CFO) |
| Authorized Official Contact | 5016865671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uams Family Medical Clinic-magnolia 4301 West Markham Street., Slot# 599 Little Rock AR 72205-7199 Ph: (501) 686-5264 | Uams Family Medical Clinic-magnolia 104 E Columbia Magnolia AR 71753-2436 Ph: (870) 862-2489 |
| NPI Number | 1841557725 |
|---|---|
| Provider Enumeration Date | 04/18/2012 |
| Last Update Date | 04/18/2012 |
| Medicare PECOS PAC ID | 4082528955 |
|---|---|
| Medicare Enrollment ID | O20121128000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841557725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Arkansas) | Primary |
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