| Spavinaw Clinics, Inc | |
|
346 N. Main Street Decatur AR 72722-0735 | |
| (479) 752-3232 | |
| (479) 752-3235 |
| Full Name | Spavinaw Clinics, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 346 N. Main Street, Decatur, Arkansas |
| Authorized Official Name and Position | Peggy A Beal (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4797523233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spavinaw Clinics, Inc Po Box 735 Decatur AR 72722-0735 Ph: (479) 752-3233 | Spavinaw Clinics, Inc 346 N. Main Street Decatur AR 72722-0735 Ph: (479) 752-3232 |
| NPI Number | 1023028016 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 07/17/2024 |
| Medicare PECOS PAC ID | 0345235222 |
|---|---|
| Medicare Enrollment ID | O20040419001555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023028016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sgoh Acquisition Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 346 N Main St, Decatur, AR 72722 Phone: 479-752-3233 Fax: 479-752-3235 |