| Integrated Community Clinics Pa | |
|
1101-2 N Progress Avenue Siloam Springs AR 72761-4343 | |
| (479) 549-3079 | |
| (479) 549-3275 |
| Full Name | Integrated Community Clinics Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1101-2 N Progress Avenue, Siloam Springs, Arkansas |
| Authorized Official Name and Position | Kelly Chambers (BILLING MANAGER) |
| Authorized Official Contact | 4795493079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Community Clinics Pa 1101-2 N Progress Avenue Po Box 1374 Siloam Springs AR 72761-1374 Ph: (479) 549-3079 | Integrated Community Clinics Pa 1101-2 N Progress Avenue Siloam Springs AR 72761-4343 Ph: (479) 549-3079 |
| NPI Number | 1760440226 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 02/13/2012 |
| Medicare PECOS PAC ID | 2567361165 |
|---|---|
| Medicare Enrollment ID | O20040102000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760440226 | NPI | - | NPPES |
| 100747540A | Medicaid | OK | |
| 5C090 | Other | AR | BCBS |
| 135299002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Madhulika Krish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538168505 PECOS PAC ID: 5395722599 Enrollment ID: I20040706001014 |
| Provider Name | Mark E Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184676041 PECOS PAC ID: 4688608722 Enrollment ID: I20050919000984 |
| Provider Name | Ashish Mathur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245329663 PECOS PAC ID: 0143312702 Enrollment ID: I20070828000072 |
| Provider Name | Lora M Collier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154371524 PECOS PAC ID: 1557255429 Enrollment ID: I20110609000681 |
| Provider Name | Amy L Schochler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851397822 PECOS PAC ID: 1153340989 Enrollment ID: I20130913000646 |
| Provider Name | Jacob Clark Hostetler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265829485 PECOS PAC ID: 5395048599 Enrollment ID: I20180822001241 |
| Provider Name | Shealyn Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407416548 PECOS PAC ID: 2365770104 Enrollment ID: I20190819000765 |
| Provider Name | Andrea Joy Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801447834 PECOS PAC ID: 1658703020 Enrollment ID: I20191125000214 |
| Provider Name | Jaclyn Hastings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821523994 PECOS PAC ID: 1557613353 Enrollment ID: I20200810001422 |
| Provider Name | Belinda Ann Burden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609364934 PECOS PAC ID: 1052656154 Enrollment ID: I20230901002362 |
Modern Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 E Central St, Siloam Springs, AR 72761 Phone: 479-335-5511 | |
St Francis House Nwa, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 N Mount Olive St, Suite 1, Siloam Springs, AR 72761 Phone: 479-524-8175 Fax: 479-751-2878 | |
St Francis House Nwa, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 451 S Holly St, Siloam Springs, AR 72761 Phone: 479-524-3141 Fax: 479-751-2878 | |
St Francis House Nwa, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1101 N Progress Ave, Siloam Springs, AR 72761 Phone: 479-549-4228 Fax: 479-751-2878 | |
St. Francis House Nwa, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 S Mount Olive St, Suite 200, Siloam Springs, AR 72761 Phone: 479-751-7417 Fax: 479-751-2878 | |
Premier Family Health Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 N Progress Ave, Siloam Springs, AR 72761 Phone: 479-225-5429 | |
St Francis House Nwa, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Broadhurst St, Siloam Springs, AR 72761 Phone: 479-373-1591 Fax: 479-751-2878 |