| Katie Combs Pllc | |
|
505 Hillcrest St Bull Shoals AR 72619-3109 | |
| (870) 445-3296 | |
| (870) 445-3302 |
| Full Name | Katie Combs Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 505 Hillcrest St, Bull Shoals, Arkansas |
| Authorized Official Name and Position | Katie E Combs (OWNER) |
| Authorized Official Contact | 8704453296 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Combs Pllc Po Box 430 Bull Shoals AR 72619-0430 Ph: (870) 445-3296 | Katie Combs Pllc 505 Hillcrest St Bull Shoals AR 72619-3109 Ph: (870) 445-3296 |
| NPI Number | 1437452232 |
|---|---|
| Provider Enumeration Date | 12/16/2010 |
| Last Update Date | 12/16/2010 |
| Medicare PECOS PAC ID | 1951598234 |
|---|---|
| Medicare Enrollment ID | O20101213000645 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437452232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Katie E Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518155761 PECOS PAC ID: 4183796048 Enrollment ID: I20080709000473 |
Combs Family Practice Of Bull Shoals Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Hillcrest St, Bull Shoals, AR 72619 Phone: 870-445-3296 Fax: 870-445-3302 |