| West Point | |
|
402 S Main St De Witt AR 72042-2618 | |
| (870) 946-0079 | |
| (870) 946-0090 |
| Full Name | West Point |
|---|---|
| Speciality | Family Medicine |
| Location | 402 S Main St, De Witt, Arkansas |
| Authorized Official Name and Position | Debra Charlene West (APRN) |
| Authorized Official Contact | 8709460198 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Point Po Box 286 De Witt AR 72042-0286 Ph: (870) 946-0198 | West Point 402 S Main St De Witt AR 72042-2618 Ph: (870) 946-0079 |
| NPI Number | 1134974553 |
|---|---|
| Provider Enumeration Date | 04/19/2024 |
| Last Update Date | 06/04/2024 |
| Medicare PECOS PAC ID | 7810339868 |
|---|---|
| Medicare Enrollment ID | O20240522003911 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134974553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Debra Charlene West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023082575 PECOS PAC ID: 3678552577 Enrollment ID: I20040715000142 |
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