| Belclin Llc | |
|
10929 Old Highway 71 Fort Smith AR 72916-8160 | |
| (479) 250-1562 | |
| (479) 250-1581 |
| Full Name | Belclin Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10929 Old Highway 71, Fort Smith, Arkansas |
| Authorized Official Name and Position | Steve-felix Belinga (OWNER) |
| Authorized Official Contact | 4792501562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Belclin Llc 10929 Old Highway 71 Fort Smith AR 72916-8160 Ph: (479) 250-1562 | Belclin Llc 10929 Old Highway 71 Fort Smith AR 72916-8160 Ph: (479) 250-1562 |
| NPI Number | 1578021903 |
|---|---|
| Provider Enumeration Date | 03/05/2019 |
| Last Update Date | 01/16/2021 |
| Certification Date | 01/16/2021 |
| Medicare PECOS PAC ID | 6204177256 |
|---|---|
| Medicare Enrollment ID | O20190401001907 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578021903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Steve-felix Belinga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588817522 PECOS PAC ID: 6002071966 Enrollment ID: I20120628000060 |
| Provider Name | Krystel Lynne Huddleston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700361490 PECOS PAC ID: 0749527075 Enrollment ID: I20201203001516 |
| Provider Name | Crystal Ollie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396248381 PECOS PAC ID: 8426313990 Enrollment ID: I20201221000973 |
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