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197 Hospital Dr Ste B Cherokee Village AR 72529-7315 | |
(870) 257-5118 | |
(870) 257-6215 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 197 Hospital Dr Ste B, Cherokee Village, Arkansas |
Authorized Official Name and Position | Shawna Baxter (PROVIDER ENROLLMENT SPECIALIST) |
Authorized Official Contact | 8702575118 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1710 Harrison St Batesville AR 72501-7303 Ph: (870) 262-5545 | 197 Hospital Dr Ste B Cherokee Village AR 72529-7315 Ph: (870) 257-5118 |
NPI Number | 1104642354 |
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Provider Enumeration Date | 12/03/2024 |
Last Update Date | 12/03/2024 |
Identifier | Type | State | Issuer |
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1104642354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Internal Medicine Diagnostics Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 197 Hospital Dr, Suite B, Cherokee Village, AR 72529 Phone: 870-257-5118 | |
Oldenberg Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 West Cherokee Village Mall, Cherokee Village, AR 72529 Phone: 870-257-4110 Fax: 870-257-4112 | |
Urban Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 West Cherokee Village Mall #12, Cherokee Village, AR 72529 Phone: 870-257-4110 Fax: 870-257-4112 | |