Vector Health & Wellness, Llc | |
1267 N Steamboat Dr Ste 3 Fayetteville AR 72704-7148 | |
(479) 316-6565 | |
(479) 316-0331 |
Full Name | Vector Health & Wellness, Llc |
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Speciality | Family Medicine |
Location | 1267 N Steamboat Dr Ste 3, Fayetteville, Arkansas |
Authorized Official Name and Position | Stephanie Anne Ho (OWNER/PHYSICIAN) |
Authorized Official Contact | 4793166565 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vector Health & Wellness, Llc 1267 N Steamboat Dr Ste 3 Fayetteville AR 72704-7148 Ph: (479) 316-6565 | Vector Health & Wellness, Llc 1267 N Steamboat Dr Ste 3 Fayetteville AR 72704-7148 Ph: (479) 316-6565 |
NPI Number | 1720620230 |
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Provider Enumeration Date | 10/16/2019 |
Last Update Date | 04/27/2021 |
Medicare PECOS PAC ID | 6002240033 |
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Medicare Enrollment ID | O20191230001560 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720620230 | NPI | - | NPPES |
240071002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Stephanie A Ho |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588826903 PECOS PAC ID: 1850588955 Enrollment ID: I20101214001178 |
Provider Name | Michelle M Green |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538555818 PECOS PAC ID: 7911219696 Enrollment ID: I20150709000634 |
Provider Name | Sonrisa V Holmes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386146595 PECOS PAC ID: 3971858051 Enrollment ID: I20180613000953 |
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