| West Side Wellness | |
|
403 N Market St Benton AR 72015-3736 | |
| (501) 794-6123 | |
| (501) 794-6148 |
| Full Name | West Side Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 403 N Market St, Benton, Arkansas |
| Authorized Official Name and Position | Timothy J Mays (OWNER) |
| Authorized Official Contact | 5017946123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Side Wellness 403 N Market St Benton AR 72015-3736 Ph: (501) 794-6123 | West Side Wellness 403 N Market St Benton AR 72015-3736 Ph: (501) 794-6123 |
| NPI Number | 1467232579 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 07/21/2026 |
| Certification Date | 07/21/2026 |
| Medicare PECOS PAC ID | 2163870668 |
|---|---|
| Medicare Enrollment ID | O20231122000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467232579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Richard B Chastain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104265081 PECOS PAC ID: 6103149612 Enrollment ID: I20150107002405 |
| Provider Name | Natalie Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033886809 PECOS PAC ID: 5698171965 Enrollment ID: I20210913000651 |
| Provider Name | Trent Rowe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174265847 PECOS PAC ID: 3870523541 Enrollment ID: I20250625002942 |
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Family Practice Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1304 Military Rd, Benton, AR 72015 Phone: 501-778-0934 Fax: 501-778-8377 |
Congo Dental Studio Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Congo Rd Ste C, Benton, AR 72015 Phone: 501-778-1400 Fax: 501-778-6194 |
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West Side Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 W South St Ste A, Benton, AR 72015 Phone: 501-794-6123 Fax: 501-794-6148 |