Western Yell County Medical Clinic | |
310 West Broadway Havana AR 72842-0099 | |
(479) 476-2827 | |
(479) 476-2580 |
Full Name | Western Yell County Medical Clinic |
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Speciality | Clinic/center - Primary Care |
Location | 310 West Broadway, Havana, Arkansas |
Authorized Official Name and Position | Michael Scott Peek (CEO) |
Authorized Official Contact | 4794952241 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Western Yell County Medical Clinic Po Box 99 Havana AR 72842-0099 Ph: (479) 476-2827 | Western Yell County Medical Clinic 310 West Broadway Havana AR 72842-0099 Ph: (479) 476-2827 |
NPI Number | 1346431384 |
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Provider Enumeration Date | 08/06/2007 |
Last Update Date | 01/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346431384 | NPI | - | NPPES |
113073002 | Medicaid | AR | |
57988 | Other | AR | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |