| Pediatric Specialty Care | |
|
1510 Byrum Rd Blytheville AR 72315-8033 | |
| (870) 532-2600 | |
| (870) 532-9484 |
| Full Name | Pediatric Specialty Care |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 1510 Byrum Rd, Blytheville, Arkansas |
| Authorized Official Name and Position | Holly Allgood (BILLING SPECIALIST) |
| Authorized Official Contact | 8708190232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Specialty Care 3012 Turman Dr Jonesboro AR 72404-8998 Ph: (870) 819-0200 | Pediatric Specialty Care 1510 Byrum Rd Blytheville AR 72315-8033 Ph: (870) 532-2600 |
| NPI Number | 1124151220 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 04/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124151220 | NPI | - | NPPES |
| 160779526 | Medicaid | AR | |
| 161010724 | Medicaid | AR | |
| 160787742 | Medicaid | AR | |
| 5C082 | Other | AR | BCBS |
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