| Crossett Health Foundation | |
|
124 Ray Lochala Rd Crossett AR 71635-4542 | |
| (870) 364-0590 | |
| (870) 364-1245 |
| Full Name | Crossett Health Foundation |
|---|---|
| Speciality | Family Medicine |
| Location | 124 Ray Lochala Rd, Crossett, Arkansas |
| Authorized Official Name and Position | Shirley White (HR DIRECTOR/ACCOUNTING SUPERVISOR) |
| Authorized Official Contact | 8703641272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossett Health Foundation Po Box 400 Crossett AR 71635-0400 Ph: (870) 364-0590 | Crossett Health Foundation 124 Ray Lochala Rd Crossett AR 71635-4542 Ph: (870) 364-0590 |
| NPI Number | 1134680242 |
|---|---|
| Provider Enumeration Date | 03/29/2019 |
| Last Update Date | 06/11/2019 |
| Medicare PECOS PAC ID | 9133030117 |
|---|---|
| Medicare Enrollment ID | O20191221000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134680242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mmc Rural Health Clinics, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Fairview Rd Ste A, Crossett, AR 71635 Phone: 870-364-0000 Fax: 870-367-1461 | |
Garcia Medical Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 N Alabama St, Crossett, AR 71635 Phone: 870-364-4181 Fax: 870-364-4889 | |
Jefferson Hospital Association, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Fairview Road, Suite A, Crossett, AR 71635 Phone: 870-364-0000 | |
Mmc Rural Health Clinics, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Fairview Rd Ste A, Crossett, AR 71635 Phone: 870-364-0000 Fax: 870-367-1461 | |
Crossett Health Foundation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1003 Fred Lagrone Dr, Crossett, AR 71635 Phone: 870-364-9519 Fax: 870-304-2156 | |
Crossett Health Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 Unity Rd, Crossett, AR 71635 Phone: 870-364-9111 |