Washington County Hiv Clinic | |
3270 N. Wimberly Drive Fayetteville AR 72703 | |
(479) 973-8450 | |
(479) 973-8452 |
Full Name | Washington County Hiv Clinic |
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Speciality | Family Medicine |
Location | 3270 N. Wimberly Drive, Fayetteville, Arkansas |
Authorized Official Name and Position | Linda Mcghee (MEDICAL DIRECTOR) |
Authorized Official Contact | 4799738450 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Washington County Hiv Clinic 3270 N. Wimberly Drive Fayetteville AR 72703 Ph: (479) 973-8450 | Washington County Hiv Clinic 3270 N. Wimberly Drive Fayetteville AR 72703 Ph: (479) 973-8450 |
NPI Number | 1053476606 |
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Provider Enumeration Date | 12/26/2006 |
Last Update Date | 05/23/2012 |
Medicare PECOS PAC ID | 8820157217 |
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Medicare Enrollment ID | O20120509000563 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053476606 | NPI | - | NPPES |
122854002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ARC4505 (Arkansas) | Primary |
Provider Name | Linda M Mcghee |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558330704 PECOS PAC ID: 7911947692 Enrollment ID: I20050512000268 |
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