| Family Medical Center | |
|
1309 W Main St Walnut Ridge AR 72476-1430 | |
| (870) 886-3211 | |
| (870) 886-9027 |
| Full Name | Family Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1309 W Main St, Walnut Ridge, Arkansas |
| Authorized Official Name and Position | Vanessa K Wagner (CFO) |
| Authorized Official Contact | 8708861263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Center Po Box 839 Walnut Ridge AR 72476-0839 Ph: (870) 886-3211 | Family Medical Center 1309 W Main St Walnut Ridge AR 72476-1430 Ph: (870) 886-3211 |
| NPI Number | 1528052107 |
|---|---|
| Provider Enumeration Date | 09/09/2005 |
| Last Update Date | 07/21/2020 |
| Medicare PECOS PAC ID | 9436305836 |
|---|---|
| Medicare Enrollment ID | O20190319000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528052107 | NPI | - | NPPES |
| 234112729 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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