| Johnson Regional Medical Center | |
|
1100 E Poplar St Clarksville AR 72830-4419 | |
| (479) 754-5454 | |
| (479) 754-5311 |
| Full Name | Johnson Regional Medical Center |
|---|---|
| Speciality | Emergency Medicine |
| Location | 1100 E Poplar St, Clarksville, Arkansas |
| Authorized Official Name and Position | Robert Larry Morse (ADMINISTRATOR) |
| Authorized Official Contact | 4797545454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Regional Medical Center Po Box 738 Clarksville AR 72830-0738 Ph: (479) 754-5454 | Johnson Regional Medical Center 1100 E Poplar St Clarksville AR 72830-4419 Ph: (479) 754-5454 |
| NPI Number | 1336198555 |
|---|---|
| Provider Enumeration Date | 05/06/2006 |
| Last Update Date | 02/04/2009 |
| Medicare PECOS PAC ID | 1658360284 |
|---|---|
| Medicare Enrollment ID | O20040623000733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336198555 | NPI | - | NPPES |
| 57977 | Other | AR | ARKANSAS BLUE CROSS |
| 128372002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
| Provider Name | David W Brooks |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1790861052 PECOS PAC ID: 5991749665 Enrollment ID: I20070730000201 |
| Provider Name | Darren S Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740442284 PECOS PAC ID: 6305021130 Enrollment ID: I20110421000089 |
| Provider Name | Ma-ko Chen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1134433303 PECOS PAC ID: 3072747393 Enrollment ID: I20140422002229 |
Arkansas Health And Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2205 W Main St, Clarksville, AR 72830 Phone: 479-705-2539 Fax: 479-705-2540 | |
River Valley Primary Care Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 708 W Main St, Clarksville, AR 72830 Phone: 479-668-4909 Fax: 479-668-4881 | |
Access Medical Clinic Arkansas Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 409 S Rogers St, Clarksville, AR 72830 Phone: 479-746-7090 Fax: 479-476-7091 | |
Roxanne E. Marshall, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Medicine Dr, Clarksville, AR 72830 Phone: 479-754-6777 Fax: 479-754-5903 | |
Clarksville Medical Group, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 W Mckennon St, Clarksville, AR 72830 Phone: 479-754-8384 Fax: 479-754-7141 | |
Robert Frederick Noonan Jr Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Professional Park Dr, Clarksville, AR 72830 Phone: 479-705-8181 Fax: 479-705-0041 |