Earle Family Medical Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Earle, Arkansas. The current practice location for Earle Family Medical Clinic is 1605 Second Street, Earle, Arkansas. For appointments, you can reach them via phone at
(870) 792-8825. The mailing address for Earle Family Medical Clinic is 332 E Cook St, Forrest City, Arkansas and phone number is (870) 630-2233.
Earle Family Medical Clinic is licensed to practice in Arkansas (license number E2405). The clinic also participates in the medicare program and its
NPI number is 1639319411. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(870) 792-8825.
Primary Care Clinic Profile
| Full Name | Earle Family Medical Clinic |
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| Speciality | Clinic/Center |
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| Location | 1605 Second Street, Earle, Arkansas |
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| Authorized Official Name and Position | Sudesh Banaji (OWNER) |
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| Authorized Official Contact | 8707928825 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Earle Family Medical Clinic
332 E Cook St
Forrest City
AR 72335-2830
Ph: (870) 630-2233 | Earle Family Medical Clinic
1605 Second Street
Earle
AR 72331-1634
Ph: (870) 792-8825 |
NPI Details:
| NPI Number | 1639319411 |
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| Provider Enumeration Date | 03/06/2009 |
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| Last Update Date | 05/16/2014 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4486719879 |
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| Medicare Enrollment ID | O20090508000271 |
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Medical Identifiers
Medical identifiers for Earle Family Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639319411 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | E2405 (Arkansas) | Primary |
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