| Waldron Family Clinic | |
|
2074 Rice Road Waldron AR 72958 | |
| (479) 635-5300 | |
| Not Available |
| Full Name | Waldron Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2074 Rice Road, Waldron, Arkansas |
| Authorized Official Name and Position | Jerome J White (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4796350091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waldron Family Clinic Po Box 130 Ratcliff AR 72951-0130 Ph: (479) 635-0091 | Waldron Family Clinic 2074 Rice Road Waldron AR 72958 Ph: (479) 635-5300 |
| NPI Number | 1992212013 |
|---|---|
| Provider Enumeration Date | 01/10/2018 |
| Last Update Date | 02/01/2021 |
| Medicare PECOS PAC ID | 0042274276 |
|---|---|
| Medicare Enrollment ID | O20180604001516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992212013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mercy Family Medicine - Waldron Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1341 W 6th St, Waldron, AR 72958 Phone: 479-637-2136 Fax: 479-637-5411 | |
Sparks Clinic - Waldron Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2074 Rice St, Waldron, AR 72958 Phone: 479-637-2100 Fax: 479-637-2106 |