| CH Mssp Services Ar PLLC | |
|
609 Sw 8th St Fl 6 Bentonville AR 72712-7886 | |
| (337) 408-0797 | |
| Not Available |
| Full Name | CH Mssp Services Ar PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 609 Sw 8th St Fl 6, Bentonville, Arkansas |
| Authorized Official Name and Position | Nicole Howard (SR VP ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 3374080797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| CH Mssp Services Ar PLLC 5750 Johnston St Ste 205 Lafayette LA 70503-5345 Ph: (337) 408-0797 | CH Mssp Services Ar PLLC 609 Sw 8th St Fl 6 Bentonville AR 72712-7886 Ph: (337) 408-0797 |
| NPI Number | 1528953692 |
|---|---|
| Provider Enumeration Date | 06/10/2025 |
| Last Update Date | 05/22/2026 |
| Certification Date | 05/22/2026 |
| Medicare PECOS PAC ID | 0042792335 |
|---|---|
| Medicare Enrollment ID | O20260602000564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528953692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Brian Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366678963 PECOS PAC ID: 0547426223 Enrollment ID: I20240423000909 |
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