| Advanced Healthcare | |
|
2111 S Old Missouri Rd Ste E Springdale AR 72764-8748 | |
| (479) 571-2273 | |
| (479) 571-2226 |
| Full Name | Advanced Healthcare |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2111 S Old Missouri Rd Ste E, Springdale, Arkansas |
| Authorized Official Name and Position | Seth Garner (OWNER) |
| Authorized Official Contact | 4795712225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Healthcare Po Box 698 Fayetteville AR 72702-0698 Ph: (479) 571-2273 | Advanced Healthcare 2111 S Old Missouri Rd Ste E Springdale AR 72764-8748 Ph: (479) 571-2273 |
| NPI Number | 1558476564 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 03/06/2019 |
| Medicare PECOS PAC ID | 3971678350 |
|---|---|
| Medicare Enrollment ID | O20080819000944 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558476564 | NPI | - | NPPES |
| 164279002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | () | Primary |
| Provider Name | Seth C Garner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871554410 PECOS PAC ID: 7012903057 Enrollment ID: I20040423000748 |
| Provider Name | Seth C Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871554410 PECOS PAC ID: 7012903057 Enrollment ID: I20140707000264 |
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