| Lafayette County Family Practice | |
|
226 Spruce Street Lewisville AR 71845 | |
| (870) 299-0480 | |
| Not Available |
| Full Name | Lafayette County Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 226 Spruce Street, Lewisville, Arkansas |
| Authorized Official Name and Position | Claude Wells (OWNER/PROVIDER) |
| Authorized Official Contact | 8702990480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lafayette County Family Practice Po Box 1028 Lewisville AR 71845-1028 Ph: (870) 299-0480 | Lafayette County Family Practice 226 Spruce Street Lewisville AR 71845 Ph: (870) 299-0480 |
| NPI Number | 1922609833 |
|---|---|
| Provider Enumeration Date | 11/06/2020 |
| Last Update Date | 11/06/2020 |
| Medicare PECOS PAC ID | 5395157044 |
|---|---|
| Medicare Enrollment ID | O20201222000719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922609833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Claude W Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801240395 PECOS PAC ID: 5991043184 Enrollment ID: I20190213002571 |
Cabun Rural Health Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1117 Chestnut Street, Lewisville, AR 71845 Phone: 870-921-5781 Fax: 870-921-4510 |