| Restore Regenerative & Sports Medicine | |
|
103 Restore Dr Mountain Home AR 72653-4641 | |
| (870) 232-5309 | |
| Not Available |
| Full Name | Restore Regenerative & Sports Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 103 Restore Dr, Mountain Home, Arkansas |
| Authorized Official Name and Position | Steph Rhoades (CLINIC MANAGER) |
| Authorized Official Contact | 8702325309 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Regenerative & Sports Medicine 103 Restore Dr Mountain Home AR 72653-4641 | Restore Regenerative & Sports Medicine 103 Restore Dr Mountain Home AR 72653-4641 Ph: (870) 232-5309 |
| NPI Number | 1043100944 |
|---|---|
| Provider Enumeration Date | 07/03/2025 |
| Last Update Date | 07/03/2025 |
| Certification Date | 07/03/2025 |
| Medicare PECOS PAC ID | 8820591662 |
|---|---|
| Medicare Enrollment ID | O20250909004269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043100944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | () | Primary |
| Provider Name | Heather C Hammonds |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1063685816 PECOS PAC ID: 6901949056 Enrollment ID: I20210105002766 |
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