West Gate Family Medicine | |
2266 Albert Pike Rd Hot Springs AR 71913-4003 | |
(501) 767-1144 | |
(501) 767-4455 |
Full Name | West Gate Family Medicine |
---|---|
Speciality | Family Medicine |
Location | 2266 Albert Pike Rd, Hot Springs, Arkansas |
Authorized Official Name and Position | Brenda Larie Southerland (BUSINESS OFFICE MANAGER) |
Authorized Official Contact | 5016257500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
West Gate Family Medicine 1661 Airport Rd Suite D Hot Springs AR 71913-7951 Ph: (501) 625-7500 | West Gate Family Medicine 2266 Albert Pike Rd Hot Springs AR 71913-4003 Ph: (501) 767-1144 |
NPI Number | 1174976492 |
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Provider Enumeration Date | 07/21/2016 |
Last Update Date | 04/04/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174976492 | NPI | - | NPPES |
220808002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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