| Baptist Health Family Clinic - Perryville | |
|
518 N Fourche Ave Perryville AR 72126-9701 | |
| (501) 889-5543 | |
| Not Available |
| Full Name | Baptist Health Family Clinic - Perryville |
|---|---|
| Speciality | Clinic/Center |
| Location | 518 N Fourche Ave, Perryville, Arkansas |
| Authorized Official Name and Position | Troy Wells (PRESIDENT) |
| Authorized Official Contact | 5012022080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Health Family Clinic - Perryville 11001 Executive Center Dr Ste 200 Little Rock AR 72211-4393 | Baptist Health Family Clinic - Perryville 518 N Fourche Ave Perryville AR 72126-9701 Ph: (501) 889-5543 |
| NPI Number | 1790578219 |
|---|---|
| Provider Enumeration Date | 05/27/2025 |
| Last Update Date | 05/27/2025 |
| Certification Date | 05/27/2025 |
| Medicare PECOS PAC ID | 0648177949 |
|---|---|
| Medicare Enrollment ID | O20250702001344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790578219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
Access Medical Clinic Arkansas Ltc LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1016 North Fourche Avenue, Perryville, AR 72126 Phone: 501-238-1284 |
Baptist Health Family Clinic- Perryville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 518 N Fourche Ave, Perryville, AR 72126 Phone: 501-889-5543 Fax: 501-889-5546 |