| Bailey Health Center, Llc | |
|
125 Main St Se, Suite A, Gravette, AR 72736-8753 | |
| (479) 787-7555 | |
| Not Available |
| Full Name | Bailey Health Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 125 Main St Se, Gravette, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376834382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 15,726 (Arkansas) | Primary |
| Provider Name | Ty Russell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487961322 PECOS PAC ID: 0143118026 Enrollment ID: I20110714000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Bailey Health Center, Llc 125 Main St Se, Suite A, Gravette, AR 72736-8753 Ph: (479) 787-7555 | Bailey Health Center, Llc 125 Main St Se, Suite A, Gravette, AR 72736-8753 Ph: (479) 787-7555 |
Dr. Ty D Russell, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 207 Atlanta Street S.e., Gravette, AR 72736 Phone: 479-787-7555 Fax: 479-787-7444 | |
Eric Shawn Bailey, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 125 Main St Se, Suite A, Gravette, AR 72736 Phone: 479-787-7555 Fax: 479-787-7444 |