Little Rock Spine & Joint Clinic | |
1401 South J. Street Fort Smith AR 72901-5158 | |
(479) 785-0612 | |
(479) 785-8598 |
Full Name | Little Rock Spine & Joint Clinic |
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Speciality | Clinic/Center |
Location | 1401 South J. Street, Fort Smith, Arkansas |
Authorized Official Name and Position | Bonnie V. Kizzire (OFFICE MANAGER) |
Authorized Official Contact | 4797850612 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Little Rock Spine & Joint Clinic 1401 South J. Street Fort Smith AR 72901-5158 Ph: (479) 785-0612 | Little Rock Spine & Joint Clinic 1401 South J. Street Fort Smith AR 72901-5158 Ph: (479) 785-0612 |
NPI Number | 1982715074 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 01/08/2016 |
Medicare PECOS PAC ID | 9638383268 |
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Medicare Enrollment ID | O20110318000658 |
Identifier | Type | State | Issuer |
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1982715074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | C8478 (Arkansas) | Primary |
Provider Name | Darin K Wilbourn |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1770561532 PECOS PAC ID: 3971786575 Enrollment ID: I20110318000685 |
Healthmax Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12300 Highway 71 S, Suite A, Fort Smith, AR 72916 Phone: 479-755-6595 Fax: 479-755-6596 | |
Waldron Place Pediatric Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 202, Fort Smith, AR 72903 Phone: 479-452-8311 Fax: 479-452-5032 | |
Remedy Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 100, Fort Smith, AR 72903 Phone: 479-888-8305 Fax: 918-395-9149 | |