| Wacgc - Primary Care Clinic | |
|
3117 S 70th St Fort Smith AR 72903-5017 | |
| (479) 452-6650 | |
| (479) 452-5847 |
| Full Name | Wacgc - Primary Care Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 3117 S 70th St, Fort Smith, Arkansas |
| Authorized Official Name and Position | Aaron L. 'rusti' Holwick (CEO) |
| Authorized Official Contact | 4794526650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wacgc - Primary Care Clinic Po Box 11818 Fort Smith AR 72917-1818 Ph: (479) 452-6650 | Wacgc - Primary Care Clinic 3117 S 70th St Fort Smith AR 72903-5017 Ph: (479) 452-6650 |
| NPI Number | 1730787037 |
|---|---|
| Provider Enumeration Date | 10/09/2020 |
| Last Update Date | 06/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730787037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Premise Health - Rheem Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5600 Old Greenwood Rd, Fort Smith, AR 72908 Phone: 479-242-4290 Fax: 479-242-4640 | |
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