Wilmot Drs Clinic is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Wilmot, Arkansas. The current practice location for Wilmot Drs Clinic is 203 Mccomb St, Wilmot, Arkansas. For appointments, you can reach them via phone at
(870) 473-2274. The mailing address for Wilmot Drs Clinic is Po Box 509, Dermott, Arkansas and phone number is (870) 942-3000.
Wilmot Drs Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1891809547. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(870) 473-2274.
Primary Care Clinic Profile
| Full Name | Wilmot Drs Clinic |
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| Speciality | Clinic/Center |
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| Location | 203 Mccomb St, Wilmot, Arkansas |
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| Authorized Official Name and Position | Gary Allan Nichols (CEO) |
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| Authorized Official Contact | 8709423000 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Wilmot Drs Clinic
Po Box 509
Dermott
AR 71638-0509
Ph: (870) 942-3000 | Wilmot Drs Clinic
203 Mccomb St
Wilmot
AR 71676
Ph: (870) 473-2274 |
NPI Details:
| NPI Number | 1891809547 |
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| Provider Enumeration Date | 08/19/2006 |
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| Last Update Date | 07/10/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 5193785590 |
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| Medicare Enrollment ID | O20110510000763 |
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Medical Identifiers
Medical identifiers for Wilmot Drs Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891809547 | NPI | - | NPPES |
| 122627749 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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