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7250 Sheridan Road White Hall AR 71602-0000 | |
(501) 749-8892 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 7250 Sheridan Road, White Hall, Arkansas |
Authorized Official Name and Position | Konstantin I Gubrij (PRESIDENT) |
Authorized Official Contact | 5014103696 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 251753 Little Rock AR 72225-1753 Ph: (501) 410-3696 | 7250 Sheridan Road White Hall AR 71602-0000 Ph: (501) 749-8892 |
NPI Number | 1043692718 |
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Provider Enumeration Date | 06/18/2015 |
Last Update Date | 06/18/2015 |
Identifier | Type | State | Issuer |
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1043692718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | E7850 (Arkansas) | Primary |
Primary Care 360 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Frankie Ln, White Hall, AR 71602 Phone: 870-393-5050 | |
Jefferson Hospital Association, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 W Holland Ave Ste 202, White Hall, AR 71602 Phone: 870-541-7235 Fax: 870-541-4297 | |
White Hall Walk In Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7250 Sheridan Rd, White Hall, AR 71602 Phone: 870-247-2779 Fax: 870-247-2780 | |