| Adult Medicine Clinic Of Blytheville, P.c. | |
|
519 N 6th St Blytheville AR 72315-2407 | |
| (870) 762-5800 | |
| (870) 762-5801 |
| Full Name | Adult Medicine Clinic Of Blytheville, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 519 N 6th St, Blytheville, Arkansas |
| Authorized Official Name and Position | Shalender Mittal (PRESIDENT) |
| Authorized Official Contact | 8707625800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Medicine Clinic Of Blytheville, P.c. Po Box 405 Blytheville AR 72316-0405 Ph: (870) 762-5800 | Adult Medicine Clinic Of Blytheville, P.c. 519 N 6th St Blytheville AR 72315-2407 Ph: (870) 762-5800 |
| NPI Number | 1528017761 |
|---|---|
| Provider Enumeration Date | 05/06/2006 |
| Last Update Date | 04/11/2022 |
| Medicare PECOS PAC ID | 9931118650 |
|---|---|
| Medicare Enrollment ID | O20060602000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528017761 | NPI | - | NPPES |
| 161250002 | Medicaid | AR | |
| 141358001 | Medicaid | AR | |
| P00326909 | Other | AR | RAILROAD MEDICARE |
| 19103000000 | Other | AR | QUALCHOICE |
| 9360340 | Other | AR | PHCS |
| DE9450 | Other | AR | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E2710 (Arkansas) | Primary |
| Provider Name | Shalender Mittal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447209606 PECOS PAC ID: 2264443365 Enrollment ID: I20060606000134 |
Mid-south Health Systems Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 S Lockard St, Blytheville, AR 72315 Phone: 870-763-2139 | |
Mississippi County Hospital System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 N 10th St Ste G, Blytheville, AR 72315 Phone: 870-838-7500 Fax: 870-838-7452 | |
Mississippi County Hospital System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Medical Dr, Blytheville, AR 72315 Phone: 870-838-7277 Fax: 870-776-5380 | |
Access Medical Clinic Arkansas Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 E Main St, Blytheville, AR 72315 Phone: 870-409-7060 | |
Board Certified Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 527 North Sixth Street, Blytheville, AR 72315 Phone: 870-763-4541 Fax: 870-762-2390 | |
James D.dye,m.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 527 N 6th St, Blytheville, AR 72315 Phone: 870-763-4541 Fax: 870-762-2390 | |
James David Dye Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 527 N 6th St, Blytheville, AR 72315 Phone: 870-763-4541 Fax: 870-762-2390 |