| Pioneer Health Services, Pa | |
|
105 Bay Ridge Loop Hot Springs AR 71901-9272 | |
| (501) 262-2047 | |
| Not Available |
| Full Name | Pioneer Health Services, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 105 Bay Ridge Loop, Hot Springs, Arkansas |
| Authorized Official Name and Position | Peter W Guresky (PRESIDENT) |
| Authorized Official Contact | 5012622047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Health Services, Pa Po Box 2365 Hot Springs AR 71914-2365 Ph: (501) 262-2047 | Pioneer Health Services, Pa 105 Bay Ridge Loop Hot Springs AR 71901-9272 Ph: (501) 262-2047 |
| NPI Number | 1528275286 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 03/17/2020 |
| Certification Date | 03/17/2020 |
| Medicare PECOS PAC ID | 1254402472 |
|---|---|
| Medicare Enrollment ID | O20080616000732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528275286 | NPI | - | NPPES |
| 131992001 | Medicaid | AR | |
| 133336002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | C7700 (Arkansas) | Primary |
| Provider Name | Peter W Guresky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992715700 PECOS PAC ID: 7517945546 Enrollment ID: I20040707001482 |
| Provider Name | Jane E Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235645508 PECOS PAC ID: 8022145556 Enrollment ID: I20180413001115 |
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