Eudora Medical Clinic | |
579 E Beouff St Eudora AR 71640-3090 | |
(870) 355-2512 | |
(870) 355-2520 |
Full Name | Eudora Medical Clinic |
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Speciality | Clinic/Center |
Location | 579 E Beouff St, Eudora, Arkansas |
Authorized Official Name and Position | Mary Scott (CFO) |
Authorized Official Contact | 8707372737 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Eudora Medical Clinic Po Box 100 Portland AR 71663-0100 Ph: (870) 355-2512 | Eudora Medical Clinic 579 E Beouff St Eudora AR 71640-3090 Ph: (870) 355-2512 |
NPI Number | 1619082724 |
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Provider Enumeration Date | 08/20/2006 |
Last Update Date | 03/30/2022 |
Medicare PECOS PAC ID | 5193785590 |
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Medicare Enrollment ID | O20110503000329 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619082724 | NPI | - | NPPES |
122646749 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Eudora Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 S Main Street, Eudora, AR 71640 Phone: 870-355-2300 Fax: 870-355-6323 | |
Eudora Elementary Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 566 S Mabry St, Eudora, AR 71640 Phone: 870-355-2512 Fax: 855-754-0598 |