| Carriage Hill Family Care, Plc | |
|
3501 Carriage Hill Dr Ste B Paragould AR 72450-5329 | |
| (870) 573-2200 | |
| (870) 573-2300 |
| Full Name | Carriage Hill Family Care, Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 3501 Carriage Hill Dr Ste B, Paragould, Arkansas |
| Authorized Official Name and Position | Vincent G Lee (OWNER) |
| Authorized Official Contact | 8705732200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carriage Hill Family Care, Plc 3501 Carriage Hill Dr Ste B Paragould AR 72450-5329 Ph: (870) 573-2200 | Carriage Hill Family Care, Plc 3501 Carriage Hill Dr Ste B Paragould AR 72450-5329 Ph: (870) 573-2200 |
| NPI Number | 1669130464 |
|---|---|
| Provider Enumeration Date | 11/30/2021 |
| Last Update Date | 11/26/2022 |
| Medicare PECOS PAC ID | 9133511447 |
|---|---|
| Medicare Enrollment ID | O20220119000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669130464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cecil Np Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073576955 PECOS PAC ID: 3577562198 Enrollment ID: I20061208000449 |
| Provider Name | Teresa D Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639481450 PECOS PAC ID: 4486778552 Enrollment ID: I20100825001084 |
| Provider Name | Latoya J. Coward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184903023 PECOS PAC ID: 6204008808 Enrollment ID: I20111004000066 |
| Provider Name | Vincent Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639498462 PECOS PAC ID: 8224283585 Enrollment ID: I20130313000059 |
| Provider Name | Lauren A Willmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316389323 PECOS PAC ID: 8426355983 Enrollment ID: I20160328001957 |
| Provider Name | Allyssa E Beall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285295865 PECOS PAC ID: 0042648024 Enrollment ID: I20200325003009 |
| Provider Name | Bridgette L. Fender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922622505 PECOS PAC ID: 8820417025 Enrollment ID: I20201007000545 |
| Provider Name | Sara D Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922372952 PECOS PAC ID: 9133512155 Enrollment ID: I20220215000561 |
| Provider Name | Laura B Needham Puckett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174645626 PECOS PAC ID: 7315399003 Enrollment ID: I20240220000556 |
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