| Amc Fqhc Inc | |
|
201 S Bay Dr Bay AR 72411-9482 | |
| (870) 770-1920 | |
| (870) 994-7488 |
| Full Name | Amc Fqhc Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 201 S Bay Dr, Bay, Arkansas |
| Authorized Official Name and Position | Monya York (CONTROLLER) |
| Authorized Official Contact | 8708561202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amc Fqhc Inc 4196 Highway 62 412 Ste A Hardy AR 72542-8002 Ph: (870) 856-1202 | Amc Fqhc Inc 201 S Bay Dr Bay AR 72411-9482 Ph: (870) 770-1920 |
| NPI Number | 1720733124 |
|---|---|
| Provider Enumeration Date | 02/15/2022 |
| Last Update Date | 05/09/2023 |
| Medicare PECOS PAC ID | 5496142978 |
|---|---|
| Medicare Enrollment ID | O20220502001586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720733124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark Hahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609895911 PECOS PAC ID: 3375584931 Enrollment ID: I20050513000647 |
| Provider Name | Sara Dawn Bayird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790136547 PECOS PAC ID: 9032401229 Enrollment ID: I20160708000652 |
| Provider Name | Ellen Weseli Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104478585 PECOS PAC ID: 5092042382 Enrollment ID: I20190808003450 |
| Provider Name | Wanda Faye Mooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316557705 PECOS PAC ID: 5698190684 Enrollment ID: I20200807001805 |
| Provider Name | Hailey A Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316533821 PECOS PAC ID: 2769897461 Enrollment ID: I20210210001220 |
Bradley Bibb Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 S Bay Dr, Bay, AR 72411 Phone: 870-770-1920 Fax: 870-994-7488 |