| Bald Knob Healthcare Center, Pa | |
|
2104 Highway 367 N Bald Knob AR 72010-9443 | |
| (501) 724-3110 | |
| (501) 724-0140 |
| Full Name | Bald Knob Healthcare Center, Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 2104 Highway 367 N, Bald Knob, Arkansas |
| Authorized Official Name and Position | Tina Renee Holder (MEDICAL OFFICE ASSISTANT) |
| Authorized Official Contact | 5017243110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bald Knob Healthcare Center, Pa Po Box 1158 Bald Knob AR 72010-1158 Ph: (501) 724-3110 | Bald Knob Healthcare Center, Pa 2104 Highway 367 N Bald Knob AR 72010-9443 Ph: (501) 724-3110 |
| NPI Number | 1003877036 |
|---|---|
| Provider Enumeration Date | 03/29/2006 |
| Last Update Date | 11/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003877036 | NPI | - | NPPES |
| 5C933 | Other | AR | BLUE CROSS |
| 0100548 | Other | AR | UNITED HEATLHCARE |
| 152204002 | Medicaid | AR | |
| 02080000800 | Other | AR | QUALCHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | E2849 (Arkansas) | Primary |
Arcare 16 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 178 Highway 167 N, Bald Knob, AR 72010 Phone: 501-724-6207 Fax: 501-724-3305 |