| Bonanza Family Clinic | |
|
920 S. Hwy 45 Bonanza AR 72916 | |
| (479) 650-3853 | |
| (479) 638-0052 |
| Full Name | Bonanza Family Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 920 S. Hwy 45, Bonanza, Arkansas |
| Authorized Official Name and Position | William Justin Hayes (PRESIDENT / OWNER) |
| Authorized Official Contact | 4792556150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonanza Family Clinic Po Box 843 Hackett AR 72937-0843 Ph: (479) 255-6150 | Bonanza Family Clinic 920 S. Hwy 45 Bonanza AR 72916 Ph: (479) 650-3853 |
| NPI Number | 1285946004 |
|---|---|
| Provider Enumeration Date | 07/09/2010 |
| Last Update Date | 10/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285946004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | E3907 (Arkansas) | Primary |
River Valley Primary Care Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 920 S Highway 45, Bonanza, AR 72916 Phone: 479-431-2057 Fax: 479-431-2058 | |
Pro-care Family Health Of Arkansas, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 Sherwood Ave, Bonanza, AR 72916 Phone: 479-255-6095 |