| Board Certified Family Practice | |
|
527 North Sixth Street Blytheville AR 72315-2790 | |
| (870) 763-4541 | |
| (870) 762-2390 |
| Full Name | Board Certified Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 527 North Sixth Street, Blytheville, Arkansas |
| Authorized Official Name and Position | Lisa Lynn Smith (OFFICE MANAGER) |
| Authorized Official Contact | 8707637695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Board Certified Family Practice 527 Norht Sixth St Blytheville AR 72315-2790 Ph: (870) 763-4541 | Board Certified Family Practice 527 North Sixth Street Blytheville AR 72315-2790 Ph: (870) 763-4541 |
| NPI Number | 1336358407 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 03/03/2014 |
| Medicare PECOS PAC ID | 1557401486 |
|---|---|
| Medicare Enrollment ID | O20100224000255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336358407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Arkansas) | Primary |
| Provider Name | Ronald D Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275572380 PECOS PAC ID: 7012817968 Enrollment ID: I20050623001060 |
| Provider Name | Edith L Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073542882 PECOS PAC ID: 0648272625 Enrollment ID: I20070203000165 |
| Provider Name | Bridgette L. Fender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922622505 PECOS PAC ID: 8820417025 Enrollment ID: I20201007000545 |
Mid-south Health Systems Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 S Lockard St, Blytheville, AR 72315 Phone: 870-763-2139 | |
Mississippi County Hospital System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 N 10th St Ste G, Blytheville, AR 72315 Phone: 870-838-7500 Fax: 870-838-7452 | |
Mississippi County Hospital System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Medical Dr, Blytheville, AR 72315 Phone: 870-838-7277 Fax: 870-776-5380 | |
Access Medical Clinic Arkansas Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 E Main St, Blytheville, AR 72315 Phone: 870-409-7060 | |
James D.dye,m.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 527 N 6th St, Blytheville, AR 72315 Phone: 870-763-4541 Fax: 870-762-2390 | |
James David Dye Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 527 N 6th St, Blytheville, AR 72315 Phone: 870-763-4541 Fax: 870-762-2390 |